SKYLAKE MEDICAL ASSOCIATES PLLC
NPI 1073381802
Nurse Practitioner in N. Miami Beach, FL
About Skylake Medical Associates Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SKYLAKE MEDICAL ASSOCIATES PLLC (NPI 1073381802) is a healthcare organization registered as a nurse practitioner in N. Miami Beach, Florida and active in the NPI registry since December 2023. The organization lists Larisa Turetsky, Nurse Practitioner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 7
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Skylake Medical Associates Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
7Medicare enrollment records show 7 clinicians reassign Medicare billing to Skylake Medical Associates PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. They are listed nearest first.
Clinicians, nearest first (7)
N. Miami Beach, FL 33179
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 Skylake Medical Associates PLLC's NPI number?
The NPI number for Skylake Medical Associates PLLC is 1073381802. It was assigned to this organization in the NPPES registry on December 12, 2023.
Where is Skylake Medical Associates PLLC located?
Skylake Medical Associates PLLC is located at 1380 NE Miami Gardens Dr Ste. 280, N. Miami Beach, FL 33179. The listed phone number is (818) 267-4606.
What is Skylake Medical Associates PLLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Skylake Medical Associates PLLC enrolled in Medicare?
Yes. Skylake Medical Associates PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Skylake Medical Associates PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 3 Medicare specialties reassign their Medicare billing to Skylake Medical Associates PLLC. 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. The largest specialties are Nurse Practitioner (4), Podiatry (2) and Certified Registered Nurse Anesthetist (CRNA) (1). Of these, 2 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Skylake Medical Associates PLLC was last updated on March 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Skylake Medical Associates Pllc · NPI 1073381802
Nurse Practitioner organization in N. Miami Beach, Florida. Organization record, active in the CMS NPPES registry since December 12, 2023.
## Identity
- **NPI:** 1073381802 (Entity type: Organization)
- **Enumerated:** December 12, 2023
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **Organization subpart:** No
- **Authorized official:** Larisa Turetsky, NURSE PRACTITIONER
## Practice location
- **Address:** 1380 NE MIAMI GARDENS DR, STE. 280, N. Miami Beach, FL 33179-4758
- **Phone:** (818) 267-4606 · **Fax:** (305) 749-6505
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 7 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (4), Podiatry (2), Certified Registered Nurse Anesthetist (CRNA) (1); 2 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 21, 2025
- **Other identifiers:** Medicaid 010594700 (FL)
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Source: [NPI Profile](https://npiprofile.com/npi/1073381802) · Data from the CMS NPPES public registry.