SKIN DEEP HEALTH LLC
NPI 1679453948
Nurse Practitioner in Lake Zurich, IL

Q: What is Skin Deep Health LLC's NPI number?

The NPI number for Skin Deep Health LLC is 1679453948. It was assigned to this organization in the NPPES registry on September 5, 2025.

Q: What is Skin Deep Health LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since September 05, 2025

571 N RAND RD, LAKE ZURICH, IL 60047(224) 415-0022(847) 748-0277 Get Directions Write a Review

NPPES record last updated: September 5, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Skin Deep Health Llc NPPES

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

SKIN DEEP HEALTH LLC (NPI 1679453948) is a healthcare organization registered as a nurse practitioner in Lake Zurich, Illinois and active in the NPI registry since September 2025. The organization lists Terrah Gavrilos, Owner, as its authorized official.

NPPES Registry Identity

NPI1679453948

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NameSKIN DEEP HEALTH LLC

Location Address571 N RAND RDLake Zurich, IL 60047-3134

Mailing Address571 N Rand RdLake Zurich, IL 60047-3134 · (224) 415-0022 · Fax (847) 748-0277

Phone(224) 415-0022

Fax(847) 748-0277

Organization SubpartNo

Authorized OfficialTerrah GavrilosOwner · (224) 415-0022

Enumeration DateSeptember 5, 2025

NPPES CertifiedSeptember 5, 2025

✔ NPI 1679453948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

571 N RAND RD, Lake Zurich, IL 60047

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Skin Deep Health Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Skin Deep Health LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Terrah Gavrilos, APN, CNP

Nurse Practitioner

NPI 1396250346

571 N RAND RD
Lake Zurich, IL 60047

(224) 415-2044

✔ PECOSSame address

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 Skin Deep Health LLC's NPI number?

The NPI number for Skin Deep Health LLC is 1679453948. It was assigned to this organization in the NPPES registry on September 5, 2025.

Where is Skin Deep Health LLC located?

Skin Deep Health LLC is located at 571 N Rand Rd, Lake Zurich, IL 60047. The listed phone number is (224) 415-0022.

What is Skin Deep Health LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Skin Deep Health LLC enrolled in Medicare?

Yes. Skin Deep Health LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Skin Deep Health LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Skin Deep Health LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Skin Deep Health LLC was last updated on September 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.