KHARIS EPHRATA PSYCHIATRIC SERVICES LLC
NPI 1386393106
Nurse Practitioner - Psychiatric/Mental Health in Winter Park, FL

Q: What is Kharis Ephrata Psychiatric Services LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since March 20, 2022

1030 WILDMEADOW RUN, WINTER PARK, FL 32792(407) 775-0248(407) 951-7688 Get Directions Write a Review

NPPES record last updated: April 17, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Kharis Ephrata Psychiatric Services Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KHARIS EPHRATA PSYCHIATRIC SERVICES LLC (NPI 1386393106) is a healthcare organization registered as a psychiatric/mental health in Winter Park, Florida and active in the NPI registry since March 2022. The organization lists Ruby Odamtten, Owner, as its authorized official.

NPPES Registry Identity

NPI1386393106

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameKHARIS EPHRATA PSYCHIATRIC SERVICES LLC

Location Address1030 WILDMEADOW RUNWinter Park, FL 32792-3032

Mailing Address587 E State Road 434 Unit 1025Longwood, FL 32750-5284 · (407) 775-0248 · Fax (321) 282-1448

Phone(407) 775-0248

Fax(407) 951-7688

Organization SubpartNo

Authorized OfficialRuby OdamttenOwner · (407) 775-0248

Enumeration DateMarch 20, 2022

Last NPPES UpdateApril 17, 2025

NPPES CertifiedApril 17, 2025

✔ NPI 1386393106 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

1030 WILDMEADOW RUN, Winter Park, FL 32792

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Wellpoint.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kharis Ephrata Psychiatric Services Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Kharis Ephrata Psychiatric Services LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Ruby Odamtten, PMHNP-BC

Nurse Practitioner

NPI 1871161695

587 E STATE ROAD 434 UNIT 1025
Longwood, FL 32750

(407) 775-0248

✔ PECOS✔ Accepts Medicare5.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kharis Ephrata Psychiatric Services LLC's NPI number?

The NPI number for Kharis Ephrata Psychiatric Services LLC is 1386393106. It was assigned to this organization in the NPPES registry on March 20, 2022.

Where is Kharis Ephrata Psychiatric Services LLC located?

Kharis Ephrata Psychiatric Services LLC is located at 1030 Wildmeadow Run, Winter Park, FL 32792. The listed phone number is (407) 775-0248.

What is Kharis Ephrata Psychiatric Services LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Kharis Ephrata Psychiatric Services LLC enrolled in Medicare?

Yes. Kharis Ephrata Psychiatric Services LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kharis Ephrata Psychiatric Services LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Kharis Ephrata Psychiatric Services LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Kharis Ephrata Psychiatric Services LLC accept?

Health plans from Wellpoint list Kharis Ephrata Psychiatric Services LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kharis Ephrata Psychiatric Services LLC was last updated on April 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.