MRS. RETTA BEVERLY SKINNER
NPI 1568852267
Nurse Practitioner - Adult Health in Davenport, FL

Active since February 02, 2015PECOS Enrolled
40100 HIGHWAY 27, DAVENPORT, FL 33837(863) 422-4971 Get Directions Write a Review

NPPES record last updated: February 2, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Retta Beverly Skinner NPPES

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

MRS. RETTA BEVERLY SKINNER (NPI 1568852267) is an individual adult health provider in Davenport, Florida, licensed in Florida (ARNP 9257075) and active in the NPI registry since February 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1568852267
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMRS. RETTA BEVERLY SKINNER
Location Address40100 HIGHWAY 27Davenport, FL 33837-5906
Mailing Address40100 Highway 27Davenport, FL 33837-5906 · (863) 422-4971
Sole ProprietorNo
Enumeration DateFebruary 2, 2015
✔ NPI 1568852267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in FL · ARNP 9257075
40100 HIGHWAY 27, Davenport, FL 33837

Other Names 1

Former Name (1)Retta Beverly Davis Arnp

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Retta Beverly Skinner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Retta Skinner reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
2302 NORTH BLVD., SUITE D
Davenport, FL 33837
  • Reassigned Medicare billing, Florida enrollment
  • 3 clinicians in this Medicare group
Pulmonary Disease
701 N FEDERAL HWY # 601
Hallandale Beach, FL 33009
  • Reassigned Medicare billing, Florida enrollment
  • 148 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33837 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
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.

Emergency Medicine
40100 HIGHWAY 27
DAVENPORT, FL 33837
Pediatrics
40100 HIGHWAY 27
DAVENPORT, FL 33837
Radiology (Diagnostic Radiology)
40100 HIGHWAY 27
DAVENPORT, FL 33837
Nurse Practitioner
40100 HIGHWAY 27
DAVENPORT, FL 33837
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
40100 HIGHWAY 27
DAVENPORT, FL 33837
Registered Nurse (Registered Nurse First Assistant)
40100 HIGHWAY 27
DAVENPORT, FL 33837
Pathology (Anatomic Pathology & Clinical Pathology)
40100 HIGHWAY 27
DAVENPORT, FL 33837
Emergency Medicine
40100 HIGHWAY 27
DAVENPORT, FL 33837

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 Retta Skinner's NPI number?

The NPI number for Retta Skinner is 1568852267. It was assigned to this individual provider in the NPPES registry on February 2, 2015. The provider is also known as Retta Beverly Davis Arnp.

Where is Retta Skinner located?

Retta Skinner practices at 40100 Highway 27, Davenport, FL 33837. The listed phone number is (863) 422-4971.

What is Retta Skinner's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Retta Skinner enrolled in Medicare?

Yes. Retta Skinner is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Retta Skinner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Retta Skinner reassigns Medicare benefits to 2 organizations: Maria Nina Concepcion MD PA (Davenport, FL) and Intensive Care Experts Health Network LLC (Hallandale Beach, FL). Each 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 Retta Skinner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Retta Skinner was last updated on February 2, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.