Active NPI
Reginald Exilus, APRN
- Psychiatric/Mental Health Nurse Practitioner
- Lauderdale Lakes, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- APRN11002042
- Practice address
- 4700 N State Road 7
Lauderdale Lakes, FL 33319-5800 - Phone
- (954) 730-7284
- NPI assigned
- May 16, 2019
- Last updated
- Jul 16, 2026
- Sex
- Male
- Sole proprietor
- Yes
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 | 11002042 | FL | |
| Primary Care Nurse Practitioner | 363LP2300X | APRN11002042 | FL | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN11002042 | FL | Primary |
Addresses
Primary practice location
4700 N State Road 7
Lauderdale Lakes, FL 33319-5800
Mailing address
4740 N State Road 7
Lauderdale Lakes, FL 33319-5839
Phone (954) 486-4005
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, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1531 NW 131St St
North Miami, FL 33167-1630
9863 NW 28TH St
Coral Springs, FL 33065-5041
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11002042 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prestige Health Services LLC | Family | Current | Accepting new patients |
| Henderson Behavioral Health, Inc. | Current | Accepting new patients | |
| Henderson Behavioral Health, Inc. | Past | Accepting new patients |
Locations
6100 Glades Rd
Ste 311
Boca Raton, FL 33434
Phone (561) 337-0210
330 SW 27th Ave
Ft Lauderdale, FL 33312
Phone (954) 463-0911
1957 Jackson St
Hollywood, FL 33020
Phone (954) 791-4300
4700 N State Road 7
Lauderdale Lakes, FL 33319
Phone (954) 730-7284
4740 N State Road 7
Ste 201
Lauderdale Lakes, FL 33319
Phone (954) 497-3850
Organizations & group practices 3
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.
-
- Family Nurse Practitioner
- Boca Raton, FL
- NPI 1649065764
-
- Community/Behavioral Health Agency
- Lauderdale Lakes, FL
- NPI 1972533271
-
- Family Medicine Physician
- Hollywood, FL
- NPI 1972454528
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784160000000",
"number": "1801452628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4740 N STATE ROAD 7",
"city": "LAUDERDALE LAKES",
"state": "FL",
"postal_code": "333195839",
"telephone_number": "954-486-4005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4700 N STATE ROAD 7",
"city": "LAUDERDALE LAKES",
"state": "FL",
"postal_code": "333195800",
"telephone_number": "954-730-7284"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EXILUS",
"first_name": "REGINALD",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-05-16",
"last_updated": "2026-07-16",
"certification_date": "2026-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "11002042",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "FL",
"license": "APRN11002042",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "FL",
"license": "APRN11002042",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lauderdale Lakes, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.