Ursula Avilus, APRN, PMHNP-BC
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · West Palm Beach, FL
NPI 1700518008 · NPPES record last updated Oct 25, 2023
Key facts
- NPI
- 1700518008
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 11020488 (FL)
- Practice address
- 5200 East Ave
West Palm Beach, FL 33407-2374 - Phone
- (954) 203-2470
- Fax
- (856) 329-8719
- NPI assigned
- Jun 27, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Grow Healthcare Group PA
Practice addresses (Care Compare)
66 E Flagler St
Miami, FL 33130-1807
Phone (786) 244-7711
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in FL, WA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231102000545 | FL | Practitioner - Nurse Practitioner | 6103272745 | Reassigns benefits to 1 organization |
| I20240807004298 | WA | Practitioner - Nurse Practitioner | 6103272745 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11020488 | FL | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Psychiatric/Mental Health | Current |
Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
1455 NW Leary Way
Ste 400
Seattle, WA 98107
Phone (206) 202-8506
Interoperability endpoints
- uavilus@originsrecovery.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 11020488 | FL | Yes |
Addresses
Primary practice location
5200 East Ave
West Palm Beach, FL 33407-2374
Mailing address
6052 SW 19TH St
North Lauderdale, FL 33068-4613
Phone (954) 203-2470
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Uavilus@originsrecovery.com | Direct |
Other providers in West Palm Beach, FL
- Joseph Averbach
- Avery Cottage Alf, LLC
- Avery Cottage Inc
- Nicolle A Aviles
- Peter Alexis Aviles
- Joe-Hannah F. Avril
- Ann Awadalla
- Allyson Awasthi
- Michael J. Axelrod
- Axiom Health LLC
All providers in West Palm Beach, FL · Psychiatric/Mental Health Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 25, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.