Individual provider Active NPI

Eleanis Palancar Gainza

  • Psychiatric/Mental Health Nurse Practitioner
  • Miami Gardens, FL
National Provider Identifier
1831981356
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11039634 Issued in FL
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

Updated by the provider on May 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250805000368 FL Practitioner - Nurse Practitioner 9739697376 Reassigns benefits to 3 organizations
Practice locations: Miami Gardens, FL

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11039634FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Xantos Wellness LLC CurrentSince Sep 25, 2025 Accepting new patients
Managed Mental Health LLC CurrentSince Dec 15, 2025 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.

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

Verify at the official NPI Registry.