Individual provider Active NPI

Yanelis Leyva, MSN, FNP-BC

  • Family Nurse Practitioner
  • Port Orange, FL
National Provider Identifier
1063766228
Registry record updated Feb 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9287651 Issued in FL
Practice address
5821 S Williamson Blvd Ste 204
Port Orange, FL 32128-6102
Phone
(386) 231-6300
Fax
(386) 322-6165
NPI assigned
Nov 8, 2012
Last updated
Feb 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9287651 FL Primary

Addresses

Primary practice location

5821 S Williamson Blvd Ste 204
Port Orange, FL 32128-6102

Mailing address

5821 S Williamson Blvd Ste 204
Port Orange, FL 32128-6102
Phone (386) 231-6300

Other practice location 1

1180 W Granada Blvd
Suite B
Ormond Beach, FL 32174-8165
Phone (386) 677-2606

Other identifiers 1

IdentifierTypeStateIssuer
128590600MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150601002346 FL Practitioner - Nurse Practitioner 2466773551 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ormond Medical ArtsGroup PAC ID 1254222565, 38 clinicians
Adventhealth Primary Care Network IncGroup PAC ID 1557722410, 428 clinicians

Practice addresses (Care Compare)

1180 W Granada Blvd
Complete Health New Smyrna Beach
Ormond Beach, FL 32174-8165
Phone (386) 677-2606

5821 S Williamson Blvd
Suite 204
Port Orange, FL 32128-6102
Phone (386) 231-6300

661 E Altamonte Dr
Suite 115
Altamonte Springs, FL 32701-5102
Phone (407) 831-4040

77 W Granada Blvd
Ormond Beach, FL 32174-6302
Phone (904) 677-0453

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
ARNP9287651FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Adventhealth Primary Care Network Inc Family CurrentSince Nov 3, 2025 Accepting new patients
Ormond Medical Arts Family Practice LLC CurrentSince Sep 13, 2023 Accepting new patients

Locations

661 E Altamonte Dr
Ste 115
Altamonte Springs, FL 32701
Phone (407) 831-4040

1180 W Granada Blvd
Ormond Beach, FL 32174
Phone (386) 677-2606

1180 W Granada Blvd
Ste B
Ormond Beach, FL 32174
Phone (386) 676-2606

77 W Granada Blvd
Ormond Beach, FL 32174
Phone (386) 677-0453

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1579/brand/8/csg/141/fhir/r4

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1352332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770508800000",
    "number": "1063766228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5821 S WILLIAMSON BLVD STE 204",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321286102",
            "telephone_number": "386-231-6300",
            "fax_number": "386-322-6165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5821 S WILLIAMSON BLVD STE 204",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321286102",
            "telephone_number": "386-231-6300",
            "fax_number": "386-322-6165"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1180 W Granada Blvd",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Ormond Beach",
            "state": "FL",
            "postal_code": "321748165",
            "country_code": "US",
            "telephone_number": "386-677-2606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEYVA",
        "first_name": "YANELIS",
        "name_prefix": "Mrs.",
        "credential": "MSN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-08",
        "last_updated": "2026-02-08",
        "certification_date": "2026-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9287651",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "128590600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Orange, FL

Sources for this page

Verify at the official NPI Registry.