Individual provider Active NPI

Andrea Loretta Ellis, FNP

  • Family Nurse Practitioner
  • Sanford, FL
National Provider Identifier
1770070898
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN9401451 Issued in FL
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

Updated by the provider on Sep 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, MN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190306001780 FL Practitioner - Nurse Practitioner 8729327937 Reassigns benefits to 6 organizations
I20250507002703 MN Practitioner - Nurse Practitioner 8729327937 Reassigns benefits to 3 organizations

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
Curana Health of Florida LLCGroup PAC ID 2466823711, 58 clinicians
Intensive Care Experts Health Network, LLCGroup PAC ID 6608195599, 99 clinicians

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

LicenseStateTypeSpecialty
APRN9401451FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Intensive Care Experts Health Network LLC CurrentSince Jun 12, 2025 Accepting new patients
Fairview Health Services Current Accepting new patients
Lifestream Behavioral Center Inc CurrentSince Mar 10, 2025 Accepting new patients
Lifestream Behavioral Center Inc CurrentSince Mar 10, 2025 Accepting new patients
Fairview Health Services CurrentSince Mar 10, 2025 Accepting new patients
Fairview Health Services CurrentSince Mar 10, 2025 Accepting new patients
Healtheast Medical Research Institute CurrentSince Mar 10, 2025 Accepting new patients
Fairview Express Care CurrentSince Mar 10, 2025 Accepting new patients
Fairview Express Care CurrentSince Mar 10, 2025 Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
Fairview Express Care Current Accepting new patients
Intensive Care Experts Health Network LLC CurrentSince Jun 12, 2025 Accepting new patients
Aspire Health Partners, Inc. CurrentSince Aug 21, 2018 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

  • Direct secure messaging: 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.

View all 17

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

Verify at the official NPI Registry.