Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Denise Ellis, AGAC-NP-BC

Individual provider Gerontology Nurse Practitioner · NPI 1962968156

Denise Ellis, AGAC-NP-BC is a Nurse Practitioner in Orlando, Florida. Qualified in 2018, 8 years ago. Practices with Florida Hospital Medical Group Inc, a 1,715-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
8
Licensed in
FL
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

258 S Chickasaw Trl Ste 202
Orlando, FL 32825-3501
Phone: (407) 303-6865
Fax: (407) 303-6537
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 625 E Twiggs St Ste 103, Tampa, FL 33602-3925 — (813) 228-7696

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence APRN11019533 (FL)
Nurse Practitioner Taxonomy 363L00000X · Licence APRN11019533 (FL)

Record details

NPI number1962968156
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGAC-NP-BC
Sole proprietorYes
NPI enumeratedFebruary 13, 2019
Last updated in NPPESOctober 31, 2023
Certification dateOctober 31, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Florida Hospital Medical Group Inc — 1715 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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