Active NPI
Eleanis Palancar Gainza
- Psychiatric/Mental Health Nurse Practitioner
- Miami Gardens, FL
National Provider Identifier
1831981356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 11039634
- Practice address
- 1865 NW 190TH Ter
Miami Gardens, FL 33056-2841 - Phone
- (786) 797-2709
- NPI assigned
- May 20, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 11039634 | FL | Primary |
Addresses
Primary practice location
1865 NW 190TH Ter
Miami Gardens, FL 33056-2841
Mailing address
1865 NW 190TH Ter
Miami Gardens, FL 33056-2841
Phone (786) 797-2709
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11039634 | FL | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Xantos Wellness LLC | Current | Accepting new patients | |
| Managed Mental Health LLC | Current | Accepting new patients |
Locations
7000 W 12th Ave
Ste 15
Hialeah, FL 33014
Phone (305) 395-4919
4445 W 16th Ave
Ste 405
Hialeah, FL 33012
Phone (786) 233-6721
4101 NW 4th St
Ste 401
Plantation, FL 33317
Phone (954) 581-8585
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 and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Hialeah, FL
- NPI 1033716055
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Hialeah, FL
- NPI 1184427171
-
- Psychiatric/Mental Health Nurse Practitioner
- North Miami, FL
- NPI 1952186561
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747699200000",
"number": "1831981356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1865 NW 190TH TER",
"city": "MIAMI GARDENS",
"state": "FL",
"postal_code": "330562841",
"telephone_number": "786-797-2709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1865 NW 190TH TER",
"city": "MIAMI GARDENS",
"state": "FL",
"postal_code": "330562841",
"telephone_number": "786-797-2709"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALANCAR GAINZA",
"first_name": "ELEANIS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-05-20",
"last_updated": "2025-05-20",
"certification_date": "2025-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "FL",
"license": "11039634",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami Gardens, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.