ELITE AESTHETICS, LLC
NPI 1831719756
Clinic/Center in Daytona Beach Shores, FL

Q: What is Elite Aesthetics, LLC's NPI number?

The NPI number for Elite Aesthetics, LLC is 1831719756. It was assigned to this organization in the NPPES registry on April 21, 2020. The provider is doing business as Elite Aesthetics Skin & Wellness Center.

Q: What is Elite Aesthetics, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since April 21, 2020

3612 S ATLANTIC AVE, DAYTONA BEACH SHORES, FL 32118(386) 872-5442(386) 872-3018 Get Directions Write a Review

NPPES record last updated: June 18, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Elite Aesthetics, Llc NPPES

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

ELITE AESTHETICS, LLC (NPI 1831719756), doing business as Elite Aesthetics Skin & Wellness Center, is a healthcare organization registered as a clinic/center in Daytona Beach Shores, Florida and active in the NPI registry since April 2020. The organization maintains 3 additional practice locations and lists Jessica Metakes, Aprn/owner, as its authorized official.

NPPES Registry Identity

NPI1831719756

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameELITE AESTHETICS, LLC

Location Address3612 S ATLANTIC AVEDaytona Beach Shores, FL 32118-7602

Mailing Address2704 S Peninsula DrDaytona Beach, FL 32118-5706 · (386) 872-5442 · Fax (386) 872-3018

Phone(386) 872-5442

Fax(386) 872-3018

Organization SubpartNo

Authorized OfficialJessica MetakesAprn/owner · (386) 872-5442

Enumeration DateApril 21, 2020

Last NPPES UpdateJune 18, 2026

NPPES CertifiedJune 18, 2026

✔ NPI 1831719756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

3612 S ATLANTIC AVE, Daytona Beach Shores, FL 32118

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Other Names 1

Doing Business AsElite Aesthetics Skin & Wellness Center

Secondary Practice Locations 3

Location 1213 S 2nd St Unit 3Flagler Beach, FL 32136-6610 · Phone (386) 338-3475 · Fax (386) 872-3018

Location 2107 N Oak AveSanford, FL 32771-1216 · Phone (407) 878-7993 · Fax (386) 872-3018

Location 34475 US Highway 1 S Ste 303St Augustine, FL 32086-3205 · Phone (386) 872-5442 · Fax (386) 872-3018

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elite Aesthetics, 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 Elite Aesthetics, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jessica Metakes, APRN

Nurse Practitioner

NPI 1558872226

3612 S ATLANTIC AVE
Daytona Beach Shores, FL 32118

(386) 872-5442

✔ 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 Elite Aesthetics, LLC's NPI number?

The NPI number for Elite Aesthetics, LLC is 1831719756. It was assigned to this organization in the NPPES registry on April 21, 2020. The provider is doing business as Elite Aesthetics Skin & Wellness Center.

Where is Elite Aesthetics, LLC located?

Elite Aesthetics, LLC is located at 3612 S Atlantic Ave, Daytona Beach Shores, FL 32118. The listed phone number is (386) 872-5442.

What is Elite Aesthetics, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Elite Aesthetics, LLC enrolled in Medicare?

Yes. Elite Aesthetics, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Elite Aesthetics, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Elite Aesthetics, 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 Elite Aesthetics, LLC was last updated on June 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.