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

Ellen L Larusso, APRN

Individual provider Family Nurse Practitioner · NPI 1427263383

Ellen L Larusso, APRN is a Nurse Practitioner in Daytona Beach, Florida. Qualified in 2007, 19 years ago. Practices with Cardiorenal Therapeutics LLC, a 34-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Florida, North Carolina and New York.

Years since qualifying
19
Licensed in
FL, NC, NY
In the registry since
2007
Specialties on file
4
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

301 Memorial Medical Pkwy
Daytona Beach, FL 32117-5167
Phone: (386) 231-3615
Fax: (386) 231-3614
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1540 Sunday Dr, Raleigh, NC 27607-6010 — (919) 782-3456
  • 736 Irving Avenue, Syracuse, NY 13210 — (315) 410-7111

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 9428863 (FL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence F335300-1 (NY)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 5009587 (NC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1427263383
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedMay 14, 2007
Last updated in NPPESDecember 20, 2018
Mailing address5220 Belfort Rd Ste 103, Jacksonville, FL 32256-6017

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Cardiorenal Therapeutics Llc — 34 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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