Keisha Ellis, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN9281197 Issued in FL

Practice address

7649 W Colonial Dr Ste 115
Orlando, FL 32818-7423

Phone

(407) 522-2080

Fax

(833) 963-0115

NPI assigned

Oct 26, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NM, FL2 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 2

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Centerwell Senior Primary Care FL Inc.Group PAC ID 9830184738, 100 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cleveland Clinic Martin North Hospital Hospital, Stuart, FL, CCN 100044

Merit-based Incentive Payment System (MIPS)

Final score

89.53 of 100Reported as apm

Quality

79.07

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles (8 of 10)

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: kellis260865@direct.phs.org
• Direct secure messaging: keisha.ellis.1@29601.direct.athenahealth.com

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

• K Ellis PA

  • Psychiatric/Mental Health Nurse Practitioner
  • Albuquerque, NM
  • NPI 1124885348

  FL, NM, Psychiatric/Mental Health

  Medicare reassignment NPD Authorized official
• Centerwell Senior Primary Care FL Inc

  • Internal Medicine Physician
  • Orlando, FL
  • NPI 1487686705

  FL

  Medicare reassignment Care Compare group
• Conviva Medical Center Management LLC

  • Internal Medicine Physician
  • Miami, FL
  • NPI 1649324278

  FL

  Medicare reassignment NPD
• Metcare of Florida, Inc

  • Internal Medicine Physician
  • Hialeah, FL
  • NPI 1902893225

  FL

  Medicare reassignment NPD
• Behavioral Health Services of New Mexico LLC

  • Psychiatric Hospital
  • Albuquerque, NM
  • NPI 1427330679

  NM

  Medicare reassignment NPD
• Centerwell Senior Primary Care (FL) Inc.

  • Internal Medicine Physician
  • Kissimmee, FL
  • NPI 1215269311
  NPD
• Centerwell Senior Primary Care (FL) Inc.

  • Internal Medicine Physician
  • Saint Cloud, FL
  • NPI 1831083187
  NPD
• Metcare of Florida, Inc

  • Internal Medicine Physician
  • Port Orange, FL
  • NPI 1619433869
  NPD
• Behavioral Health Services of New Mexico LLC

  • Psychiatry Physician
  • Albuquerque, NM
  • NPI 1477913697
  NPD

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

• Martin Memorial Medical Center Inc

  • General Acute Care Hospital
  • Stuart, FL
  • NPI 1194790055

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1477440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771286400000",
    "number": "1508318494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 BLUE LAGOON DR STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263168",
            "telephone_number": "844-630-0700",
            "fax_number": "877-374-1924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7649 W COLONIAL DR STE 115",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328187423",
            "telephone_number": "407-522-2080",
            "fax_number": "833-963-0115"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1209 Mountain Road Pl NE # 4953",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871107845",
            "country_code": "US",
            "telephone_number": "800-524-1212",
            "fax_number": "323-967-9893",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 W Hobbs St",
            "address_purpose": "LOCATION",
            "city": "Roswell",
            "state": "NM",
            "postal_code": "882031869",
            "country_code": "US",
            "telephone_number": "575-623-3311",
            "fax_number": "575-622-1273",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "115 E 23rd St",
            "address_purpose": "LOCATION",
            "city": "Roswell",
            "state": "NM",
            "postal_code": "88201",
            "country_code": "US",
            "telephone_number": "575-625-1292",
            "fax_number": "575-624-4836",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "KEISHA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-26",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NM",
            "license": "CNP-03387",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9281197",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "CNP03387",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "keisha.ellis.2@29601.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "7649 W Colonial Dr Ste 115",
            "city": "Orlando",
            "state": "FL",
            "country_code": "US",
            "postal_code": "328187423",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Colton Ellis
• Denise Ellis, AGAC-NP-BC
• Elizabeth Gilbert Ellis
• Emily Ellis, PA
• George Frederick Ellis, MD
• Kendra Ellis, PHARMD
• Lashanda Ellis, MSW
• Maleeka Monique Ellis, RRT
• Rachel Lynn Annette Ellis, PHYSICAL THERAPIST
• Sarah Chliyah Ellis, PA-C

• Family Nurse Practitioner in Orlando, FL
• Providers in Orlando, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.