TYSAM CHADLI BECKETT APRN, PMHNP-BC
NPI 1114349735
Nurse Practitioner - Psychiatric/Mental Health in Clermont, FL
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
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Tysam Beckett reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Stockbridge, GA 30281
- Reassigned Medicare billing, Florida enrollment
- 408 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
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.
Where is Tysam Beckett located?
Tysam Beckett practices at 17011 State Road 50 Ste 301, Clermont, FL 34711. The listed phone number is (833) 769-3524.
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.
Is Tysam Beckett enrolled in Medicare?
Yes. Tysam Beckett is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Tysam Beckett's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tysam Beckett reassigns Medicare benefits to Personal Recovery Network LLC (Stockbridge, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tysam Beckett's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tysam Beckett accept?
Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare and UnitedHealthcare list Tysam Beckett as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
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 10 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.
# Tysam Chadli Beckett, APRN, PMHNP-BC · NPI 1114349735
Psychiatric/Mental Health physician in Clermont, Florida. Individual provider, active in the CMS NPPES registry since January 16, 2014.
## Identity
- **NPI:** 1114349735 (Entity type: Individual)
- **Enumerated:** January 16, 2014
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** APRN11014430 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 17011 STATE ROAD 50 STE 301, Clermont, FL 34711-8203
- **Phone:** (833) 769-3524
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Personal Recovery Network LLC (NPI 1881990869, Stockbridge, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** December 18, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1114349735) · Data from the CMS NPPES public registry.