Active NPI
Ilka Fawn Sephus, APRN
- Psychiatric/Mental Health Nurse Practitioner
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- APRN11020697
- Practice address
- 10967 Lake Underhill Rd Ste 113
Orlando, FL 32825-4434 - Phone
- (833) 769-3524
- NPI assigned
- Dec 6, 2022
- Last updated
- Jan 5, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 11020697 | FL | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN11020697 | FL | Primary |
| Registered Nurse | 163W00000X | 9367205 | FL |
Addresses
Primary practice location
10967 Lake Underhill Rd Ste 113
Orlando, FL 32825-4434
Mailing address
10967 Lake Underhill Rd Ste 113
Orlando, FL 32825-4434
Phone (833) 769-3524
Other practice location 1
18324 Bellezza Dr
Orlando, FL 32820-1451
Phone (301) 523-6414
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
10967 Lake Underhill Rd
Suite 113
Orlando, FL 32825-4434
Phone (407) 537-9451
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9367205 | FL | MD | Registered Nurse |
| 11020697 | FL | MD | Family Nurse Practitioner |
| APRN11020697 | FL | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Personal Recovery Network LLC | Current | Accepting new patients |
Locations
4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392
260 Lookout Pl
Ste 202
Maitland, FL 32751
Phone (407) 537-9450
10967 Lake Underhill Rd
Ste 113
Orlando, FL 32825
Phone (407) 537-9451
Interoperability endpoints
- lifestancehealth.ilkasephus@141363.advancedmd-direct.com
Organizations & group practices 1
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.
-
dba LifeStance Health
- Psychiatry Physician
- Stockbridge, GA
- NPI 1881990869
FL
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767571200000",
"number": "1629789177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10967 LAKE UNDERHILL RD STE 113",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328254434",
"telephone_number": "833-769-3524",
"fax_number": "407-412-9170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10967 LAKE UNDERHILL RD STE 113",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328254434",
"telephone_number": "833-769-3524"
}
],
"practiceLocations": [
{
"address_1": "18324 Bellezza Dr",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328201451",
"country_code": "US",
"telephone_number": "301-523-6414",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SEPHUS",
"first_name": "ILKA",
"middle_name": "FAWN",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-06",
"last_updated": "2026-01-05",
"certification_date": "2026-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "11020697",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "FL",
"license": "APRN11020697",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "9367205",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.