LUMINARY DERMATOLOGY, PA
NPI 1851955983
Dermatology - MOHS-Micrographic Surgery in Bradenton, FL

Q: What is Luminary Dermatology, PA's NPI number?

The NPI number for Luminary Dermatology, PA is 1851955983. It was assigned to this organization in the NPPES registry on April 24, 2019.

Q: What is Luminary Dermatology, PA's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

Active since April 24, 2019

2101 61ST ST W, BRADENTON, FL 34209(941) 926-6553 Get Directions Write a Review

NPPES record last updated: January 27, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 8, 2020, Oct 2, 2019, Sep 25, 2019 and 1 more (4 updates tracked since 2019).

On this page

About Luminary Dermatology, Pa NPPES

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

LUMINARY DERMATOLOGY, PA (NPI 1851955983) is a healthcare organization registered as a mohs-micrographic surgery in Bradenton, Florida and active in the NPI registry since April 2019. The organization maintains 10 additional practice locations and lists Jessica Lynn Phillips, Ceo, as its authorized official.

NPPES Registry Identity

NPI1851955983

Entity TypeOrganization

Primary Taxonomy207ND0101X

Legal Business NameLUMINARY DERMATOLOGY, PA

Location Address2101 61ST ST WBradenton, FL 34209-5528

Mailing Address4411 Bee Ridge Rd, Pmb 309Sarasota, FL 34233-2514 · (941) 926-6553 · Fax (941) 296-8501

Phone(941) 926-6553

Organization SubpartNo

Authorized OfficialJessica Lynn PhillipsCeo · (941) 302-4669

Enumeration DateApril 24, 2019

Last NPPES UpdateJanuary 27, 20254 updates tracked since enumeration

NPPES CertifiedJanuary 27, 2025

✔ NPI 1851955983 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 10

★ Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207ND0101X

Definition

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.

Also ListedSpecialistTaxonomy 174400000X

Also ListedDermatologyTaxonomy 207N00000X

Also ListedObstetrics & Gynecology · GynecologyTaxonomy 207VG0400X

Also ListedPlastic SurgeryTaxonomy 208200000X

Also ListedSurgeryTaxonomy 208600000X

Also ListedGeneral PracticeTaxonomy 208D00000X

Also ListedPhysician AssistantTaxonomy 363A00000X

Also ListedNurse PractitionerTaxonomy 363L00000X

Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X

2101 61ST ST W, Bradenton, FL 34209

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Secondary Practice Locations 10

Location 18740 N Kendall Dr Ste 101Miami, FL 33176-2209 · Phone (305) 661-8978 · Fax (941) 296-8501

Location 2925 NE 30th Ter Ste 308Homestead, FL 33033-7614 · Phone (786) 670-9799 · Fax (941) 296-8501

Location 316870 NE 19th AveNorth Miami Beach, FL 33162-3108 · Phone (305) 947-1466 · Fax (305) 944-0692

Location 4819 N Mills Ave Ste DArcadia, FL 34266-8716 · Phone (863) 491-2390 · Fax (941) 296-8501

Location 5544 Bay Isles RdLongboat Key, FL 34228-3129 · Phone (941) 926-6553 · Fax (941) 296-8501

Location 61550 E Venice AveVenice, FL 34292-1661 · Phone (941) 667-9030 · Fax (941) 296-8501

Location 71901 Haverford AveSun City Center, FL 33573-5200 · Phone (941) 926-6553 · Fax (941) 296-8501

Location 82032 Hawthorne StSarasota, FL 34239-2307 · Phone (941) 926-6553 · Fax (941) 296-8501

Location 91250 S Tamiami Trl Ste 304Sarasota, FL 34239-2221 · Phone (941) 263-2988 · Fax (941) 296-8501

Location 103105 Bobcat Village Center RdNorth Port, FL 34288-8974 · Phone (941) 271-0021 · Fax (941) 296-8501

Other Identifiers 1

OtherB8XVQFL · Florida Blue

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Luminary Dermatology, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 10 clinicians reassign Medicare billing to Luminary Dermatology, PA, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 2

Dermatology7

Nurse Practitioner3

Clinicians, nearest first (10)

Michael Foss

Dermatology

NPI 1285193193

2101 61ST ST W
Bradenton, FL 34209

(941) 677-9070

✔ PECOS✔ Accepts MedicareSame address

Nadia Hogan

Nurse Practitioner

NPI 1104612704

2101 61ST ST W
Bradenton, FL 34209

(941) 667-9070

✔ PECOS✔ Accepts MedicareSame address

Janet Delaney, ARNP

Nurse Practitioner

NPI 1407811086

6015 POINTE WEST BLVD
Bradenton, FL 34209

(941) 304-3971

✔ PECOS✔ Accepts Medicare0.1 mi

Brett Brazen, DO

Dermatology

NPI 1770169328

20900 BISCAYNE BLVD
Aventura, FL 33180

(305) 682-7000

✔ PECOS✔ Accepts Medicare185 mi

Joseph Seber, M.D.

Dermatology

NPI 1558326215

16870 NE 19TH AVE
North Miami Beach, FL 33162

(305) 947-1466

✔ PECOS✔ Accepts Medicare186 mi

Michael Randolph, MD

Dermatology

NPI 1780263830

8740 N KENDALL DR STE 101
Miami, FL 33176

(305) 661-8978

✔ PECOS✔ Accepts Medicare188 mi

Phyllis Skolnik, M.D.

Dermatology

NPI 1023081692

8740 N KENDALL DR STE 101
Miami, FL 33176

(305) 661-8978

✔ PECOS✔ Accepts Medicare188 mi

Yuleidy Andarcio Lujan, APRN

Nurse Practitioner

NPI 1447892179

1600 NW 10TH AVE RM 2023-A
Miami, FL 33136

(305) 243-4472

✔ PECOS✔ Accepts Medicare189 mi

Cary Dunn, M.D.

Dermatology

NPI 1639163298

580 PROVIDENCE PARK DR E FL 2
Mobile, AL 36695

(251) 631-3570

✔ PECOS✔ Accepts Medicare403 mi

Karen Maloney, MD

Dermatology

NPI 1912918186

2320 DEAN ST STE 104
St Charles, IL 60175

(630) 523-4747

✔ PECOS✔ Accepts Medicare1,047 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 Luminary Dermatology, PA's NPI number?

The NPI number for Luminary Dermatology, PA is 1851955983. It was assigned to this organization in the NPPES registry on April 24, 2019.

Where is Luminary Dermatology, PA located?

Luminary Dermatology, PA is located at 2101 61st St W, Bradenton, FL 34209. The listed phone number is (941) 926-6553.

What is Luminary Dermatology, PA's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

Is Luminary Dermatology, PA enrolled in Medicare?

Yes. Luminary Dermatology, PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Luminary Dermatology, PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 2 Medicare specialties reassign their Medicare billing to Luminary Dermatology, PA. 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. The largest specialties are Dermatology (7) and Nurse Practitioner (3). Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Luminary Dermatology, PA accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Molina Healthcare list Luminary Dermatology, PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Luminary Dermatology, PA was last updated on January 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.