Individual provider Active NPI

Deva Marie Ellis, APRN

  • Family Nurse Practitioner
  • Bradenton, FL
National Provider Identifier
1528843992
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11028293 Issued in FL
Practice address
5925 Lakewood Ranch Blvd
Bradenton, FL 34211-2464
Phone
(941) 348-1201
NPI assigned
Aug 25, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 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 11028293 FL Primary

Addresses

Primary practice location

5925 Lakewood Ranch Blvd
Bradenton, FL 34211-2464

Mailing address

6824 283Rd St E
Myakka City, FL 34251-3300
Phone (937) 504-3049

Other practice location 1

6824 283rd St E
Myakka City, FL 34251-3300
Phone (937) 504-3049

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
I20240209003913 FL Practitioner - Nurse Practitioner 7517300163 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unique Healthcare Systems, LLCGroup PAC ID 5496058422, 39 clinicians

Practice addresses (Care Compare)

7101 US Hwy 19 N
Pinellas Park, FL 33781-4607
Phone (727) 201-8585

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11028293FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Unique Healthcare Systems LLC CurrentSince Oct 14, 2023 Accepting new patients
DME Medical Services, LLC Family Current Accepting new patients
Unique Management Group PastSince Oct 14, 2023 Accepting new patients

Locations

5925 Lakewood Ranch Blvd
Bradenton, FL 34211
Phone (727) 201-8585

7101 US Highway 19 N
Pinellas Park, FL 33781
Phone (727) 201-8585

11241 Park Blvd
Ste A
Seminole, FL 33772
Phone (727) 273-1300

Organizations & group practices 3

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": "1692921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787184000000",
    "number": "1528843992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6824 283RD ST E",
            "city": "MYAKKA CITY",
            "state": "FL",
            "postal_code": "342513300",
            "telephone_number": "937-504-3049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5925 LAKEWOOD RANCH BLVD",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342112464",
            "telephone_number": "941-348-1201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6824 283rd St E",
            "address_purpose": "LOCATION",
            "city": "Myakka City",
            "state": "FL",
            "postal_code": "342513300",
            "country_code": "US",
            "telephone_number": "937-504-3049",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "DEVA",
        "middle_name": "MARIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-25",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11028293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.