NPPES file of Aug 9, 2026

Derek Elvin Ellis

Psychiatric/Mental Health Nurse Practitioner · Lakeland, FL

Derek Elvin Ellis is a psychiatric/mental health nurse practitioner with a practice address in Lakeland, Florida, and NPI 1720771587, issued on May 30, 2023. Check the license (Florida 11024640, as entered in NPPES) on the Florida health license search; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1720771587
Name
Derek Elvin Ellis
Primary taxonomy
Psychiatric/Mental Health Nurse Practitioner 363LP0808X
License number
11024640 FL
Self-reported in NPPES; status is on the state search
Practice location
1324 Lakeland Hills Blvd, Lakeland, FL 33805
Phone
(863) 687-1100
Enumerated
May 30, 2023
Record last updated
May 30, 2023
Medicare enrollment
Enrolled (PECOS I20230911003001); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 1324 Lakeland Hills Blvd

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Christian Abreu-Ramirez, MDPulmonary Disease Physician1003335019
  2. Marines Acevedo Rodriguez, MDGeriatric Medicine (Internal Medicine) Physician1326578329
  3. Amber Acosta, PA-CPhysician Assistant1689550733
  4. Aleah Aguilar, RNCritical Care Medicine Registered Nurse1467386177
  5. Areebah AhmadStudent in an Organized Health Care Education/Training Program1477493112
  6. Maha Ahmad, DOStudent in an Organized Health Care Education/Training Program1265282263

Verify Derek Elvin Ellis in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersFlorida health license search
    Search for license 11024640
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Florida license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Bills Medicare through one group practice

  1. Lakeland Regional Health Systems IncLakeland, FL

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Derek Elvin Ellis among 4,715 psychiatric/mental health nurse practitioner records in Florida

Derek Elvin Ellis is one of 4,715 psychiatric/mental health nurse practitioner records with a practice address in Florida. 67% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2023, is newer than 58% of them.

  • NPI issued2023 · 58% of these records are older, 33% newer
  • In a Medicare fileYes · 67% of these records are
  • In the CMS Doctors and Clinicians fileYes · 56% of these records are
  • Graduated2022 · median 2021 among the 2,622 with a school on file
  • Record last updated2023 · 15% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363LP0808X and a Florida practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Psychiatric/Mental Health Nurse Practitioner providers in Florida

There are 4,715 psychiatric/mental health nurse practitioner records in Florida.

The 8 psychiatric/mental health nurse practitioner records with the nearest ZIP codes

  1. Equilla Cherry, APRNLakeland, FL 338051689029480
  2. Jacquelyn Delgado, APRNLakeland, FL 338051952775124
  3. Amber Edelmann, ARNPLakeland, FL 338051891435962
  4. Sharon Jacob, MSN, MPH, PMHNP-BCLakeland, FL 338051487903605
  5. Deborah Lasebny, APRN,CLakeland, FL 338051134227085
  6. Elizabeth Martin, ARNPLakeland, FL 338051295757490
  7. Da'Twan Mathis, APRNLakeland, FL 338051346973187
  8. Nicole McCloskey, APRNLakeland, FL 338051538748876

Common questions

What is Derek Elvin Ellis's NPI number?

Derek Elvin Ellis's National Provider Identifier (NPI) is 1720771587, issued on May 30, 2023. An NPI identifies a provider in billing; it is not a license.

Where is Derek Elvin Ellis located?

The NPPES record lists a practice address at 1324 Lakeland Hills Blvd, Lakeland, FL, 33805. Phone: (863) 687-1100. Providers update this record themselves, so call before visiting.

How can I verify Derek Elvin Ellis's license?

NPPES lists Florida license number 11024640, as entered by the provider. Search the Florida health license search at https://mqa-internet.doh.state.fl.us/mqasearchservices/healthcareproviders. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.