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MARK SHKLOVSKY PMHNP-BC
NPI 1720739329
Nurse Practitioner - Psychiatric/Mental Health in Brooklyn, NY

Active since January 14, 2022PECOS Enrolled
1669 BEDFORD AVE FL 2, BROOKLYN, NY 11225(718) 439-8972(646) 829-1448 Get Directions Write a Review

NPPES record last updated: May 23, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 23, 2025, Mar 29, 2023, Mar 14, 2023 and 1 more (4 updates tracked since 2022).

About Mark Shklovsky Pmhnp-bc NPPES

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

MARK SHKLOVSKY PMHNP-BC (NPI 1720739329) is an individual psychiatric/mental health provider in Brooklyn, New York, licensed in New York (404829) and active in the NPI registry since January 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720739329
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMARK SHKLOVSKYCredential: PMHNP-BC
Location Address1669 BEDFORD AVE FL 2Brooklyn, NY 11225-2009
Mailing Address1669 Bedford AveBrooklyn, NY 11225-2009 · (718) 439-8972 · Fax (646) 829-1448
Phone(718) 439-8972
Fax(646) 829-1448
Sole ProprietorYes
Enumeration DateJanuary 14, 2022
Last NPPES UpdateMay 23, 20254 updates tracked since enumeration
NPPES CertifiedMay 15, 2025
✔ NPI 1720739329 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NY · 404829
Also ListedRegistered NurseTaxonomy 163W00000X · License 746484 (NY)
1669 BEDFORD AVE FL 2, Brooklyn, NY 11225
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mark Shklovsky Pmhnp-bc 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 Mark Shklovsky reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

East Point Medical PC
5.5 mi
Family Medicine
7116 GRAND AVE
Maspeth, NY 11378
  • Reassigned Medicare billing, New York enrollment
  • 43 clinicians in this Medicare group
NPI 1518571751 (929) 777-4325
Welllife Network Inc
13 mi
Case Management
40 ELMONT ROAD
Elmont, NY 11003
  • Reassigned Medicare billing, New York enrollment
  • 49 clinicians in this Medicare group
NPI 1508012816 (347) 542-5667

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 11225 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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

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

KORIN SUTTON
Case Manager/Care Coordinator
1669 BEDFORD AVE FL 2
BROOKLYN, NY 11225
Kings County (347) 306-4474

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 Mark Shklovsky's NPI number?

The NPI number for Mark Shklovsky is 1720739329. It was assigned to this individual provider in the NPPES registry on January 14, 2022.

Where is Mark Shklovsky located?

Mark Shklovsky practices at 1669 Bedford Ave Fl 2, Brooklyn, NY 11225. The listed phone number is (718) 439-8972.

What is Mark Shklovsky's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Mark Shklovsky enrolled in Medicare?

Yes. Mark Shklovsky is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mark Shklovsky's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Shklovsky reassigns Medicare benefits to 2 organizations: East Point Medical PC (Maspeth, NY) and Welllife Network Inc (Elmont, NY). 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 Mark Shklovsky'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 Mark Shklovsky was last updated on May 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.