SKIN PROS LLC
NPI 1841072576
Nurse Practitioner - Family in Clermont, FL

Active since October 17, 2023
12713 MAGNOLIA BAY BLVD, CLERMONT, FL 34711(407) 205-4947 Get Directions Write a Review

NPPES record last updated: October 18, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Skin Pros Llc NPPES

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

SKIN PROS LLC (NPI 1841072576) is a healthcare organization registered as a family in Clermont, Florida and active in the NPI registry since October 2023. The organization lists Michael Frasure, Owner, as its authorized official.

NPPES Registry Identity

NPI1841072576
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameSKIN PROS LLC
Location Address12713 MAGNOLIA BAY BLVDClermont, FL 34711-8144
Mailing Address12713 Magnolia Bay BlvdClermont, FL 34711-8144 · (407) 205-4947
Organization SubpartNo
Authorized OfficialMichael FrasureOwner · (407) 205-4947
Enumeration DateOctober 17, 2023
Last NPPES UpdateOctober 18, 2023
NPPES CertifiedOctober 18, 2023
✔ NPI 1841072576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
12713 MAGNOLIA BAY BLVD, Clermont, FL 34711

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 Pros Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Skin Pros LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1902546674
13900 COUNTY ROAD 455 STE 107-348
Clermont, FL 34711
(606) 309-3024
✔ PECOS✔ Accepts Medicare1.1 mi
Nurse Practitioner
NPI 1841380623
11600 LAKESIDE VILLAGE LN
Windermere, FL 34786
(407) 876-2273
✔ PECOS✔ Accepts Medicare9.2 mi

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 Pros LLC's NPI number?

The NPI number for Skin Pros LLC is 1841072576. It was assigned to this organization in the NPPES registry on October 17, 2023.

Where is Skin Pros LLC located?

Skin Pros LLC is located at 12713 Magnolia Bay Blvd, Clermont, FL 34711. The listed phone number is (407) 205-4947.

What is Skin Pros LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Skin Pros LLC enrolled in Medicare?

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

How many clinicians bill Medicare through Skin Pros LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Skin Pros 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. Of these, 2 practice within 10 miles. 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 Pros LLC was last updated on October 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.