Active NPI
Erica Tilus, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Kissimmee, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 11017523
- 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
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 | 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11017523 | FL | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCR Health, Inc. | Current | Accepting new patients | |
| Grow Healthcare Group PA | Psychiatric/Mental Health | Current | Accepting new patients |
| Balanced Wellbeing LLC | Current | Accepting new patients | |
| MCR Health, Inc. | Current | 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.
-
- Psychiatry Physician
- Ocala, FL
- NPI 1336513639
-
- Federally Qualified Health Center (FQHC)
- Parrish, FL
- NPI 1255376000
-
- Psychologist
- Miami, FL
- NPI 1356040976
-
- Non-Pharmacy Dispensing Site
- Bradenton, FL
- NPI 1821878745
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.