Individual provider Active NPI

Ranovy Occelus, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Sanford, ME
National Provider Identifier
1255107157
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
CNP251166 Issued in ME
Practice address
25 June St
Sanford, ME 04073-2621
Phone
(207) 490-7000
Fax
(207) 490-7002
NPI assigned
Nov 30, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11029911 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X CNP251166 ME Primary

Addresses

Primary practice location

25 June St
Sanford, ME 04073-2621

Mailing address

25 June St
Sanford, ME 04073-2621
Phone (207) 490-7000

Other practice location 1

1602 Oakfield Dr Ste 205
Brandon, FL 33511-0827
Phone (239) 690-6906

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NC, TX, NM4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20240717000932 FL Practitioner - Nurse Practitioner 2860937661 Reassigns benefits to 2 organizations
I20250930000766 NC Practitioner - Nurse Practitioner 2860937661 Reassigns benefits to 1 organization
I20260310003585 TX Practitioner - Nurse Practitioner 2860937661 Reassigns benefits to 1 organization
I20260618000455 NM Practitioner - Nurse Practitioner 2860937661 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2402 S Miami Blvd
Suite 101
Durham, NC 27703-4928
Phone (919) 765-8730

8500 Village Dr
Suite 101
San Antonio, TX 78217-5510
Phone (726) 201-3047

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11029911FLMDPsychiatric/Mental Health Nurse Practitioner
CNP251166MEMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Eleanor Health Professional NC, PLLC CurrentSince May 22, 2025 Accepting new patients
Eleanor Health Professional TX, PLLC CurrentSince Feb 1, 2026 Accepting new patients
Bonita Springs Retirement Village, Inc. CurrentSince Jul 3, 2024 Accepting new patients
Eleanor Health Professional TX, PLLC CurrentSince Feb 1, 2026 Accepting new patients
Dna Comprehensive Therapy Services, LLC CurrentSince Jul 3, 2024 Accepting new patients

Locations

1602 Oakfield Dr
Ste 205
Brandon, FL 33511
Phone (813) 655-6367

4310 Metro Pkwy
Ste 205
Fort Myers, FL 33916

3191 Harbor Blvd
Ste A
Pt Charlotte, FL 33952
Phone (941) 766-9555

2402 S Miami Blvd
Ste 101
Durham, NC 27703
Phone (919) 765-8730

930 Tate Blvd SE
Ste 101
Hickory, NC 28602

Interoperability endpoints

  • Direct secure messaging: ranovy.occelus.1@21505.direct.athenahealth.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1701302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1255107157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 JUNE ST",
            "city": "SANFORD",
            "state": "ME",
            "postal_code": "040732621",
            "telephone_number": "207-490-7000",
            "fax_number": "207-490-7002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 JUNE ST",
            "city": "SANFORD",
            "state": "ME",
            "postal_code": "040732621",
            "telephone_number": "207-490-7000",
            "fax_number": "207-490-7002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1602 Oakfield Dr Ste 205",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "FL",
            "postal_code": "335110827",
            "country_code": "US",
            "telephone_number": "239-690-6906",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OCCELUS",
        "first_name": "RANOVY",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-30",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11029911",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ME",
            "license": "CNP251166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanford, ME

Sources for this page

Verify at the official NPI Registry.