Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NIKITA O. SHULZHENKO MD
NPI 1780143503
Surgery - Plastic and Reconstructive Surgery in Fort Myers, FL

Q: What is Nikita Shulzhenko's NPI number?

The NPI number for Nikita Shulzhenko is 1780143503. It was assigned to this individual provider in the NPPES registry on March 19, 2019.

Q: What is Nikita Shulzhenko's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Q: When was this NPI record last updated?

The NPPES record for Nikita Shulzhenko was last updated on October 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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 19, 2019PECOS Enrolled

8925 COLONIAL CENTER DR STE 1000, FORT MYERS, FL 33905(239) 343-9325 Get Directions Write a Review

NPPES record last updated: October 2, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Oct 2, 2026, Sep 22, 2026, Nov 11, 2025 and 1 more (4 updates tracked since 2019).

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About Nikita O. Shulzhenko Md NPPES

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

NIKITA O. SHULZHENKO MD (NPI 1780143503) is an individual plastic and reconstructive surgery provider in Fort Myers, Florida, licensed in Florida (ME183697) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS and is a graduate of University Of Wisconsin School Of Medicine (2019).

NPPES Registry Identity

NPI1780143503

Entity TypeIndividualMale

Primary Taxonomy2086S0122X

Provider Legal NameNIKITA O. SHULZHENKOCredential: MD

Location Address8925 COLONIAL CENTER DR STE 1000Fort Myers, FL 33905-7813

Mailing AddressPo Box 2147Fort Myers, FL 33902-2147 · (239) 343-7400 · Fax (239) 468-7942

Phone(239) 343-9325

Sole ProprietorNo

Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2019

Enumeration DateMarch 19, 2019

Last NPPES UpdateOctober 2, 20264 updates tracked since enumeration

NPPES CertifiedOctober 2, 2026

✔ NPI 1780143503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0122X

License✔ Licensed in FL · ME183697

Definition

A surgeon who specializes in plastic and reconstructive surgery.

Also ListedPlastic SurgeryTaxonomy 208200000X · License ME183697 (FL)

8925 COLONIAL CENTER DR STE 1000, Fort Myers, FL 33905

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Other Identifiers 1

Medicaid132777600FL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nikita O. Shulzhenko Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4789176017

PECOS Enrollment IDI20251125000165

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.

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.

MS. SUSAN CRING RANKIN APRN

Nurse Practitioner (Adult Health)