Active NPI
Andrea Loretta Ellis, FNP
- Family Nurse Practitioner
- Sanford, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN9401451
- Practice address
- 919 E 2ND St
Sanford, FL 32771 - Phone
- (407) 323-2036
- NPI assigned
- Apr 14, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 12627 | MN | |
| Family Nurse Practitioner | 363LF0000X | APRN9401451 | FL | Primary |
Addresses
Primary practice location
919 E 2ND St
Sanford, FL 32771
Mailing address
919 E 2ND St
Sanford, FL 32771-2101
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12 E Grove Ave
Lake Wales, FL 33853-4760
Phone (337) 991-9276
18480 Cochran Blvd
Port Charlotte, FL 33948-3379
Phone (941) 743-4700
3001 S Congress Ave
Boynton Beach, FL 33426-9012
Phone (561) 737-5600
375 NW 51 St
Boca Raton, FL 33431-4773
Phone (561) 997-8111
4033 Beaver LN
Port Charlotte, FL 33952-9206
Phone (941) 625-3200
701 Victoria St
Brandon, FL 33510-4100
Phone (813) 681-4220
800 NW 95 St
Miami, FL 33150-2032
Phone (305) 836-1550
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN9401451 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Intensive Care Experts Health Network LLC | Current | Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients | |
| Lifestream Behavioral Center Inc | Current | Accepting new patients | |
| Lifestream Behavioral Center Inc | Current | Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients | |
| Healtheast Medical Research Institute | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Healtheast Medical Research Institute | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Intensive Care Experts Health Network LLC | Current | Accepting new patients | |
| Aspire Health Partners, Inc. | Current | Accepting new patients |
Locations
701 N Federal Hwy
Ste 601
Hallandale Beach, FL 33009
Phone (954) 573-2195
215 N 3rd St
Leesburg, FL 34748
Phone (352) 315-7900
5151 Adanson St
Ste 201
Orlando, FL 32804
Phone (407) 494-1509
1800 Mercy Dr
Orlando, FL 32808
Phone (407) 295-5151
4033 Beaver Ln
Pt Charlotte, FL 33952
Phone (941) 212-2748
919 E 2nd St
Sanford, FL 32771
Phone (407) 323-2036
717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617
2450 Riverside Ave
Minneapolis, MN 55454
Phone (612) 273-7838
911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313
1700 University Ave W
Fl 6
Saint Paul, MN 55104
Phone (651) 232-2273
1700 University Ave W
Saint Paul, MN 55104
Phone (612) 672-6740
Interoperability endpoints
- ms_aellis97@landmarkhealth-direct.org
Organizations & group practices 17
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.
-
- Pulmonary Disease Physician
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-
- Internal Medicine Physician
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- NPI 1013628676
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Orlando, FL
- NPI 1821033903
-
- Psychiatric Hospital
- Leesburg, FL
- NPI 1902802002
-
- Multi-Specialty Clinic/Center
- Minneapolis, MN
- NPI 1053952606
-
- Clinic/Center
- Vadnais Heights, MN
- NPI 1639125503
-
- Internal Medicine Physician
- Coral Gables, FL
- NPI 1043919822
-
- Internal Medicine Physician
- Orlando, FL
- NPI 1710595640
-
- Emergency Medicine Physician
- Minneapolis, MN
- NPI 1811077175
-
- Primary Care Clinic/Center
- Leesburg, FL
- NPI 1659613776
-
- Clinic/Center
- Edina, MN
- NPI 1659509552
-
- General Practice Physician
- Edina, MN
- NPI 1831707207
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758672000000",
"number": "1770070898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "919 E 2ND ST",
"city": "SANFORD",
"state": "FL",
"postal_code": "327712101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "919 E 2ND ST",
"city": "SANFORD",
"state": "FL",
"postal_code": "32771",
"telephone_number": "407-323-2036"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLIS",
"first_name": "ANDREA",
"middle_name": "LORETTA",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-14",
"last_updated": "2025-09-24",
"certification_date": "2025-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MN",
"license": "12627",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN9401451",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sanford, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2025; 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.