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.
- 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
8 nearest psychiatric/mental health nurse practitioner records → All 4,715 in Florida → Look up another NPI →
Also registered at 1324 Lakeland Hills Blvd
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Marines Acevedo Rodriguez, MDGeriatric Medicine (Internal Medicine) Physician1326578329
- Amber Acosta, PA-CPhysician Assistant1689550733
- Aleah Aguilar, RNCritical Care Medicine Registered Nurse1467386177
- Areebah AhmadStudent in an Organized Health Care Education/Training Program1477493112
- Maha Ahmad, DOStudent in an Organized Health Care Education/Training Program1265282263
Verify Derek Elvin Ellis in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersFlorida health license search
Search for license 11024640Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- 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.
All 4,715 in Florida → Every provider in Lakeland → Psychiatric/Mental Health Nurse Practitioner nationwide →
The 8 psychiatric/mental health nurse practitioner records with the nearest ZIP codes
- Equilla Cherry, APRNLakeland, FL 338051689029480
- Jacquelyn Delgado, APRNLakeland, FL 338051952775124
- Amber Edelmann, ARNPLakeland, FL 338051891435962
- Sharon Jacob, MSN, MPH, PMHNP-BCLakeland, FL 338051487903605
- Deborah Lasebny, APRN,CLakeland, FL 338051134227085
- Elizabeth Martin, ARNPLakeland, FL 338051295757490
- Da'Twan Mathis, APRNLakeland, FL 338051346973187
- 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.