TANYA DENISE BACA (DNP, CNM, PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1205032588
Psychiatric/Mental Health Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for TANYA DENISE BACA (DNP, CNM, PMHNP-BC)
5002 W Lemon St
Tampa, FL 336091104
Phone: (813) 286-0033
Fax: (813) 282-1806
Type: Location
7901 4th St N Ste 300
St Petersburg, FL 337024399
Phone: (720) 936-2590
Type: Location
7901 4TH ST N STE 300
ST PETERSBURG, FL 337024399
Phone: (352) 922-3699
Fax: (352) 204-1493
Type: Mailing
Richmond Drive, Middletown, New Castle County, Delaware, United States
RICHMOND, VA 232911734
Phone: (804) 358-6100
Fax: (804) 342-7619
Type: Mailing
401, North 11th Street, Shockoe Slip, Richmond, Richmond City, Virginia, 23219, United States
RICHMOND, VA 232191901
Phone: (804) 828-4409
Fax: (804) 828-6084
Type: Location
1307 S PINE AVE
OCALA, FL 344716543
Phone: (352) 368-2238
Type: Mailing
PO BOX 25317
TAMPA, FL 336225317
Phone: (813) 286-0033
Fax: (813) 282-1806
Type: Mailing
5002 W LEMON ST
TAMPA, FL 336091104
Phone: (813) 286-0033
Fax: (813) 282-1806
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $288.
Total Amount is formed as General ($288) + Research ($0) + Ownership ($0) = $288.
Last reported payment date: 2024-06-25 • Largest payer in this snapshot: CooperSurgical, Inc. ($129).
Total Amount
$288
General + Research + Ownership
Payments
5
Total payment records
General Amount
$288
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| CooperSurgical, Inc. | $129 |
| Myriad Women's Health, Inc. | $111 |
| Amgen Inc. | $34 |
| Hologic Sales and Service, LLC | $14 |
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: 2021-02-10
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210210002531 | I | Certified Nurse Midwife (Cnm) | FL | TBD |
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.
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 33609)
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