MR. HORACE A ELLIS (M.S.N., A. R. N. P.) – Psychiatric/Mental Health Nurse Practitioner, NPI 1457328734
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
24,232 NURSE PRACTITIONER in FL
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Provider Addresses for MR. HORACE A ELLIS (M.S.N., A. R. N. P.)
10246, Southwest 24th Court, Miramar, Broward County, Florida, 33025, United States
MIRAMAR, FL 330256504
Phone: (954) 435-3696
Fax: (305) 355-8091
Type: Mailing
NW 17 ST@NW 9 AV, 1695, Northwest 9th Avenue, Miami, Miami-Dade County, Florida, 33136, United States
MIAMI, FL 331361409
Phone: (305) 355-7228
Fax: (305) 355-8091
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 23 Open Payments records for all available years, with a total value of $423.
Total Amount is formed as General ($423) + Research ($0) + Ownership ($0) = $423.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($149).
Total Amount
$423
General + Research + Ownership
Payments
23
Total payment records
General Amount
$423
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2012-10-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20121002000703 | I | Nurse Practitioner | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33025)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | FL | |
| P S Y C H I A T R Y | FL | |
| Family Practice | FL | |
| Family Practice | FL | |
| Nurse Practitioner | FL | |
| P S Y C H I A T R Y | FL | |
| Family Practice | CT | |
| P S Y C H I A T R Y | FL | |
| Family Practice | IL | |
| Family Practice | FL |
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