Individual provider Active NPI

Elyssa Penalver, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Southwest Ranches, FL
National Provider Identifier
1528976495
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11050519 Issued in FL
Practice address
4930 SW 193Rd LN
Southwest Ranches, FL 33332-1231
Phone
(954) 336-9448
NPI assigned
Aug 31, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11050519 FL Primary

Addresses

Primary practice location

4930 SW 193Rd LN
Southwest Ranches, FL 33332-1231

Mailing address

4930 SW 193Rd LN
Southwest Ranches, FL 33332-1231
Phone (954) 336-9448

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1788134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1528976495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4930 SW 193RD LN",
            "city": "SOUTHWEST RANCHES",
            "state": "FL",
            "postal_code": "333321231",
            "telephone_number": "954-336-9448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4930 SW 193RD LN",
            "city": "SOUTHWEST RANCHES",
            "state": "FL",
            "postal_code": "333321231",
            "telephone_number": "954-336-9448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENALVER",
        "first_name": "ELYSSA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-08-31",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11050519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southwest Ranches, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.