Dmitriy Shishkin, - Medicare Nurse Practitioner in Daytona Beach, FL

  1. Home
  2. Nurse Practitioner
  3. FL
  4. Daytona Beach
Dmitriy Shishkin, is a medicare enrolled "Nurse Practitioner" in Daytona Beach, Florida. He graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Florida Clinical Practice Association Inc and his current practice location is 311 N Clyde Morris Blvd, Daytona Beach, Florida. You can reach out to his office (for appointments etc.) via phone at (386) 255-2340.

Dmitriy Shishkin is licensed to practice in Florida (license number APRN9288346) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1891230371.

Contact Information

Dmitriy Shishkin,
311 N Clyde Morris Blvd,
Daytona Beach, FL 32114-2781
(386) 255-2340
Not Available

Map and Direction




Provider's Profile

Full NameDmitriy Shishkin
GenderMale
SpecialityNurse Practitioner
Experience8 Years
Location311 N Clyde Morris Blvd, Daytona Beach, Florida
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dmitriy Shishkin graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1891230371
  • Provider Enumeration Date: 12/20/2016
  • Last Update Date: 10/24/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 1557626991
  • Enrollment ID: I20180605002880

Medical Identifiers

Medical identifiers for Dmitriy Shishkin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1891230371NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health 9288346 (Florida)Secondary
363L00000XNurse Practitioner APRN9288346 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Halifax Health Medical CenterDaytona beach, FLHospital
Adventhealth New Smyrna BeachNew smyrna beach, FLHospital
Adventhealth Daytona BeachDaytona beach, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Florida Clinical Practice Association Inc03451462541622

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dmitriy Shishkin allows following entities to bill medicare on his behalf.
Entity NameFlorida Clinical Practice Association Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063463768
PECOS PAC ID: 0345146254
Enrollment ID: O20031211000099
Entity NameKashyap Patel Md Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114037462
PECOS PAC ID: 9830152974
Enrollment ID: O20041109000902
Entity NameHome Docs
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518347038
PECOS PAC ID: 9133432750
Enrollment ID: O20150724011167
Entity NamePrimary Care Of Orange City Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831615087
PECOS PAC ID: 7517232804
Enrollment ID: O20171012002454
Entity NamePrimary Care Of Oc Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790541456
PECOS PAC ID: 2062850258
Enrollment ID: O20240408001021

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. Dmitriy Shishkin is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dmitriy Shishkin,
Po Box 100265,
Gainesville, FL 32610-0265

Ph: (352) 273-9000		Dmitriy Shishkin,
311 N Clyde Morris Blvd,
Daytona Beach, FL 32114-2781

Ph: (386) 255-2340

Reviews and Comments


Nurse Practitioner Nurses in Daytona Beach, FL

Ashley Gillette, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 112 Milton Rd, Daytona Beach, FL 32118
Phone: 970-260-0885    
Brittany C Gaskin, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1845 Holsonback Dr, Daytona Beach, FL 32117
Phone: 386-274-0500    
Charles Wright, ARNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 350 N Clyde Morris Blvd, Daytona Beach, FL 32114
Phone: 386-238-3200    Fax: 386-238-3264
Bruce Harris, ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3512 S Atlantic Ave, Daytona Beach, FL 32118
Phone: 386-767-9544    
Cloressa Dizney, ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 303 N Clyde Morris Blvd, Daytona Beach, FL 32114
Phone: 386-425-4542    Fax: 386-425-7705
Gena Genovese Brennan, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 301 Memorial Medical Pkwy, Daytona Beach, FL 32117
Phone: 386-353-7633    Fax: 386-615-4105
Mrs. Krystal Marie Disantis, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 731 N Clyde Morris Blvd, Daytona Beach, FL 32114
Phone: 786-738-9144    Fax: 877-245-1597

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.