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

Keisha Ellis, NP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1508318494

Keisha Ellis, NP is a Nurse Practitioner in Orlando, Florida. Qualified in 2016, 10 years ago. Works from 4 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida and New Mexico.

Years since qualifying
10
Licensed in
FL, NM
In the registry since
2016
Specialties on file
3
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

7649 W Colonial Dr Ste 115
Orlando, FL 32818-7423
Phone: (407) 522-2080
Fax: (833) 963-0115
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 1209 Mountain Road Pl Ne # 4953, Albuquerque, NM 87110-7845 — (800) 524-1212
  • 115 E 23rd St, Roswell, NM 88201 — (575) 625-1292
  • 111 W Hobbs St, Roswell, NM 88203-1869 — (575) 623-3311

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN9281197 (FL)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence CNP-03387 (NM)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence CNP03387 (NM)

Record details

NPI number1508318494
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedOctober 26, 2016
Last updated in NPPESFebruary 17, 2026
Certification dateFebruary 17, 2026
Mailing address6101 Blue Lagoon Dr Ste 200, Miami, FL 33126-3168

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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