Individual provider Active NPI

Eljess Clervil, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Estero, FL
National Provider Identifier
1629897459
Registry record updated Sep 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11035550 Issued in FL
Practice address
9401 Corkscrew Palms Cir Ste300
Estero, FL 33928
Phone
(239) 690-6906
NPI assigned
Oct 8, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 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 APRN11035550 FL Primary

Addresses

Primary practice location

9401 Corkscrew Palms Cir Ste300
Estero, FL 33928

Mailing address

2435 Quentin Ave S
Lehigh Acres, FL 33973-6186
Phone (239) 895-2317

Other practice location 1

1222 SE 47th St Ste C2
Cape Coral, FL 33904-9661
Phone (239) 397-4099

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
I20241112004297 FL Practitioner - Nurse Practitioner 6608300728 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

9401 Corkscrew Palms Cir
Suite 300
Estero, FL 33928-6275
Phone (239) 676-0601

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gladiolus Serenity Mental Health LLC Psychiatric/Mental Health Current Accepting new patients
Gladiolus Homecare Services LLC Current Accepting new patients
Bonita Springs Retirement Village, Inc. CurrentSince Nov 6, 2024 Accepting new patients
Dna Comprehensive Therapy Services, LLC CurrentSince Nov 6, 2024 Accepting new patients

Locations

9401 Corkscrew Palms Cir
Ste 300
Estero, FL 33928
Phone (239) 676-0601

4310 Metro Pkwy
Ste 205
Fort Myers, FL 33916

3191 Harbor Blvd
Ste A
Pt Charlotte, FL 33952
Phone (941) 766-9555

5825 Argerian Dr
Ste 101
Wesley Chapel, FL 33545
Phone (813) 687-4870

Interoperability endpoints

  • Direct secure messaging: eljess.clervil.1@13142.direct.athenahealth.com

Organizations & group practices 4

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": "1728345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789430400000",
    "number": "1629897459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2435 QUENTIN AVE S",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339736186",
            "telephone_number": "239-895-2317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9401 CORKSCREW PALMS CIR STE300",
            "city": "ESTERO",
            "state": "FL",
            "postal_code": "33928",
            "telephone_number": "239-690-6906"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1222 SE 47th St Ste C2",
            "address_purpose": "LOCATION",
            "city": "Cape Coral",
            "state": "FL",
            "postal_code": "339049661",
            "country_code": "US",
            "telephone_number": "239-397-4099",
            "fax_number": "239-946-0296",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLERVIL",
        "first_name": "ELJESS",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-10-08",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11035550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Estero, FL

Sources for this page

Verify at the official NPI Registry.