Ailissa Tekla Retalic, APRN - Nurse Practitioner in Debary, FL

Ailissa Tekla Retalic, APRN is a Nurse Practitioner - Psychiatric/mental Health based in Debary, Florida. Ailissa Tekla Retalic is licensed to practice in Florida (license number 11040778) and her current practice location is 110 Pond Ct Ste 201, Debary, Florida. She can be reached at her office (for appointments etc.) via phone at (386) 317-8635.

NPI number for Ailissa Tekla Retalic is 1417847492 and her current mailing address is 1826 Whippoorwill Ln, Deland, Florida. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1417847492.

Contact Information

Ailissa Tekla Retalic, APRN
110 Pond Ct Ste 201,
Debary, FL 32713-2717
(386) 317-8635
Not Available

Map and Direction




Provider's Profile

Full NameAilissa Tekla Retalic
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location110 Pond Ct Ste 201, Debary, Florida
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1417847492
  • Provider Enumeration Date: 07/09/2025
  • Last Update Date: 12/09/2025

Medical Identifiers

Medical identifiers for Ailissa Tekla Retalic such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417847492NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 11040778 (Florida)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ailissa Tekla Retalic is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ailissa Tekla Retalic, APRN
1826 Whippoorwill Ln,
Deland, FL 32720-2103

Ph: (386) 490-7537
Ailissa Tekla Retalic, APRN
110 Pond Ct Ste 201,
Debary, FL 32713-2717

Ph: (386) 317-8635

Reviews and Comments


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Medicare: Accepting Medicare Assignments
Practice Location: 21 S Charles Richard Beall Blvd, Debary, FL 32713
Phone: 386-516-0930    Fax: 386-668-6897

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.