TYSAM CHADLI BECKETT APRN, PMHNP-BC
NPI 1114349735
Nurse Practitioner - Psychiatric/Mental Health in Clermont, FL

Q: What is Tysam Beckett's NPI number?

The NPI number for Tysam Beckett is 1114349735. It was assigned to this individual provider in the NPPES registry on January 16, 2014.

Q: What is Tysam Beckett's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Tysam Beckett was last updated on December 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 16, 2014PECOS EnrolledAccepts Medicare Assignment

17011 STATE ROAD 50 STE 301, CLERMONT, FL 34711(833) 769-3524 Get Directions Write a Review

NPPES record last updated: December 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 18, 2025, Jun 28, 2024, Jul 21, 2021 (3 updates tracked since 2021).

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About Tysam Chadli Beckett Aprn, Pmhnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TYSAM CHADLI BECKETT APRN, PMHNP-BC (NPI 1114349735) is an individual psychiatric/mental health provider in Clermont, Florida, licensed in Florida (APRN11014430) and active in the NPI registry since January 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in Clermont, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1114349735

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameTYSAM CHADLI BECKETTCredential: APRN, PMHNP-BC

Location Address17011 STATE ROAD 50 STE 301Clermont, FL 34711-8203

Mailing Address17011 State Road 50 Ste 301Clermont, FL 34711-8203 · (833) 769-3524

Phone(833) 769-3524

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateJanuary 16, 2014

Last NPPES UpdateDecember 18, 20253 updates tracked since enumeration

NPPES CertifiedDecember 18, 2025

✔ NPI 1114349735 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in FL · APRN11014430

Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License RN9368798 (FL)

17011 STATE ROAD 50 STE 301, Clermont, FL 34711

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Secondary Practice Location 1

Location 110821 Foxhole RdClermont, FL 34711-8013 · Phone (407) 408-4433

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tysam Chadli Beckett Aprn, Pmhnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4789080078

PECOS Enrollment IDI20210913001115

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

105 services21 patients

Psychotherapy with evaluation and management visit, 30 minutes 90833

Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.

25 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34711 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NADJA MARIA QUINONES LMHC

Counselor (Mental Health)