Individual provider Active NPI

Nelly Ella Choudja, APRN

  • Family Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1508516113
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11017866 Issued in FL
Practice address
6304 Benjamin Rd Ste 506
Tampa, FL 33634-5128
Phone
(614) 556-5920
NPI assigned
Mar 25, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 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 11017866 FL Primary

Addresses

Primary practice location

6304 Benjamin Rd Ste 506
Tampa, FL 33634-5128

Mailing address

6304 Benjamin Rd Ste 506
Tampa, FL 33634-5128
Phone (614) 556-5920

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
I20221118000927 FL Practitioner - Nurse Practitioner 7113395385 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hyper HealingGroup PAC ID 3577821958, 10 clinicians

Practice addresses (Care Compare)

4915 Ehrlich Rd
Tampa, FL 33624-2038
Phone (813) 591-4570

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11017866FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hyper Healing Family CurrentSince Aug 4, 2025 Accepting new patients
Wound Wise Healing LLC Current Accepting new patients
Pophealthcare, LLC CurrentSince Oct 20, 2024 Accepting new patients
Florida Seizure Doc PLLC CurrentSince Jun 1, 2024 Accepting new patients
Pophealthcare, LLC Family CurrentSince Oct 20, 2024 Accepting new patients

Locations

162 W Robertson St
Brandon, FL 33511
Phone (813) 591-4590

3003 Claire Ln
Ste 100
Jacksonville, FL 32223
Phone (904) 204-6585

10739 Deerwood Park Blvd
Ste 200
Jacksonville, FL 32256
Phone (615) 721-7024

7807 Baymeadows Rd E
Ste 303
Jacksonville, FL 32256
Phone (904) 204-6585

6304 Benjamin Rd
Ste 506
Tampa, FL 33634
Phone (614) 556-5920

4915 Ehrlich Rd
Tampa, FL 33624
Phone (813) 264-6334

9275 Medical Plaza Dr
Ste F
North Charleston, SC 29406
Phone (803) 767-4465

113 Seaboard Ln
Ste 200B
Franklin, TN 37067
Phone (615) 721-7020

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1648166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777507200000",
    "number": "1508516113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6304 BENJAMIN RD STE 506",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336345128",
            "telephone_number": "614-556-5920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6304 BENJAMIN RD STE 506",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336345128",
            "telephone_number": "614-556-5920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOUDJA",
        "first_name": "NELLY",
        "middle_name": "ELLA",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-25",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11017866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.