SHELBY LYNN SKULLEY PA
NPI 1043078751
Physician Assistant in North Miami Beach, FL

Q: What is Shelby Skulley's NPI number?

The NPI number for Shelby Skulley is 1043078751. It was assigned to this individual provider in the NPPES registry on March 7, 2024.

Q: What is Shelby Skulley's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Shelby Skulley was last updated on March 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.

Active since March 07, 2024PECOS Enrolled

100 NW 170TH ST STE 301, NORTH MIAMI BEACH, FL 33169(305) 651-3038(305) 655-1153 Get Directions Write a Review

NPPES record last updated: March 7, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Shelby Lynn Skulley Pa NPPES

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

SHELBY LYNN SKULLEY PA (NPI 1043078751) is an individual physician assistant in North Miami Beach, Florida, licensed in Florida (PA9118536) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1043078751

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameSHELBY LYNN SKULLEYCredential: PA

Location Address100 NW 170TH ST STE 301North Miami Beach, FL 33169-5511

Mailing Address100 Nw 170th St Ste 301North Miami Beach, FL 33169-5511 · (305) 651-3038

Phone(305) 651-3038

Fax(305) 655-1153

Sole ProprietorYes

Medical School CMSOtherGraduated 2023

Enumeration DateMarch 7, 2024

NPPES CertifiedMarch 7, 2024

✔ NPI 1043078751 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in FL · PA9118536

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

100 NW 170TH ST STE 301, North Miami Beach, FL 33169

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shelby Lynn Skulley Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8527555820

PECOS Enrollment IDI20251011000351

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33169 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$96.13 typical visit price

range $60.92 – $187.05

Typical copayment $24.03 (range $15.23 – $46.76)

Most-billed visit code 99203

Established Patient

$75.86 typical visit price

range $18.99 – $150.24

Typical copayment $18.96 (range $4.74 – $37.56)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KRISTINA RAJIC PA-C

Physician Assistant (Medical)