Individual provider Active NPI

Erica Tilus, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Kissimmee, FL
National Provider Identifier
1982355178
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11017523 Issued in FL
Practice address
1970 E Osceola Pkwy Ste 338
Kissimmee, FL 34743-8629
Phone
(407) 443-0923
Fax
(407) 753-5242
NPI assigned
Jan 10, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 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 11017523 FL Primary

Addresses

Primary practice location

1970 E Osceola Pkwy Ste 338
Kissimmee, FL 34743-8629

Mailing address

250 Hidden Springs Cir
Kissimmee, FL 34743-6124
Phone (407) 844-9440

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
I20220520001105 FL Practitioner - Nurse Practitioner 7416334016 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11017523FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MCR Health, Inc. CurrentSince Feb 24, 2023 Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Aug 5, 2025 Accepting new patients
Balanced Wellbeing LLC CurrentSince Feb 1, 2023 Accepting new patients
MCR Health, Inc. CurrentSince Feb 24, 2023 Accepting new patients
Demac Healthcare LLC Psychiatric/Mental Health Current Accepting new patients

Locations

1970 E Osceola Pkwy
Kissimmee, FL 34743
Phone (407) 443-0923

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

3200 SW 34th Ave
Ste 701
Ocala, FL 34474
Phone (354) 445-1200

12271 US Highway 301 N
Parrish, FL 34219
Phone (941) 713-2231

Organizations & group practices 6

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": "1641772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1982355178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 HIDDEN SPRINGS CIR",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347436124",
            "telephone_number": "407-844-9440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1970 E OSCEOLA PKWY STE 338",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347438629",
            "telephone_number": "407-443-0923",
            "fax_number": "407-753-5242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILUS",
        "first_name": "ERICA",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-10",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11017523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.