MEYATA FARLEY (PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1104529205

MEYATA FARLEY (PMHNP) is a healthcare provider. based in Red oak, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP. They hold a License No. 1112447 (TX). The NPI Number for MEYATA FARLEY (PMHNP) is 1104529205

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
MEYATA FARLEY (PMHNP)
NPI
1104529205
Phone
Not provided
Address
PO BOX 1575
Enumeration Date
27 March 2023
Last Update Date
6 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3619934835
Graduation Year
2022 (4 years ago)
PAC ID
9931626959
Group Practice PAC ID
9537554456
Professional Enrollment ID
I20250502002878
Address ID
TX784114384CO5151XPKWY301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness85
Years active:3State licenses:2Digital endpointsOther names

7,504 NURSE PRACTITIONER in AZ

Provider Addresses for MEYATA FARLEY (PMHNP)

  • PO BOX 1575

    RED OAK, TX 751541562

    Phone:

    Type: Mailing

  • 2755 SILVER CREEK RD STE 205

    BULLHEAD CITY, AZ 864428347

    Phone: (702) 518-0137

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-05-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250502002878INurse PractitionerTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 75154)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9537554456View full group profile
NameSpecialtyState
Nurse PractitionerTX
P S Y C H I A T R YTX

Reviews

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Frequently asked questions

How do payers reference MEYATA FARLEY (PMHNP)?
For MEYATA FARLEY (PMHNP), use NPI 1104529205 as the unique 10-digit identifier.
Is MEYATA FARLEY (PMHNP) shown as active in public data?
Registry records indicate MEYATA FARLEY (PMHNP) maintains an active NPI.
What expertise is attributed to MEYATA FARLEY (PMHNP)?
MEYATA FARLEY (PMHNP)'s specialty line reads Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MEYATA FARLEY (PMHNP)?
Travel planning: use Red Oak, Texas as the reference point for MEYATA FARLEY (PMHNP), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.