DR. CHARMAINE A. BYRD (DNP) – Psychiatric/Mental Health Registered Nurse, NPI 1669073474
Psychiatric/Mental Health Registered Nurse
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. CHARMAINE A. BYRD (DNP)
165 SW Vision Gln
Lake City, FL 320251111
Phone: (386) 755-1800
Type: Location
1500 Lakeland Hills Blvd
Lakeland, FL 338053257
Phone: (407) 851-5121
Fax: (407) 851-0439
Type: Location
214 SE VICTORIA GLN
LAKE CITY, FL 320259308
Phone: (321) 615-4997
Type: Mailing
1500 LAKELAND HILLS BLVD
LAKELAND, FL 338053257
Phone: (321) 615-4997
Type: Mailing
3469 LAWRENCEVILLE HWY STE 103
TUCKER, GA 300845889
Phone: (770) 939-6480
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 47 Open Payments records for all available years, with a total value of $934.
Total Amount is formed as General ($934) + Research ($0) + Ownership ($0) = $934.
Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Tris Pharma Inc ($133).
Total Amount
$934
General + Research + Ownership
Payments
47
Total payment records
General Amount
$934
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Tris Pharma Inc | $133 |
| Corium, LLC | $121 |
| ABBVIE INC. | $119 |
| Takeda Pharmaceuticals U.S.A., Inc. | $101 |
| Teva Pharmaceuticals USA, Inc. | $81 |
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: 2021-03-22
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 |
|---|---|---|---|---|
| I20210322001692 | I | Nurse Practitioner | 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 32025)
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