1. Home
  2. Directory
  3. Florida
  4. Nokomis
  5. Clinic Center
  6. NPI Profile

JUSTIN ROSS WASSERMAN MD PL
NPI 1891098612
Clinic/Center in Nokomis, FL

Active since December 16, 2010
409 SERANO WAY UNIT 101, NOKOMIS, FL 34275(941) 484-8222(941) 486-3016 Get Directions Write a Review

NPPES record last updated: June 3, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Justin Ross Wasserman Md Pl NPPES

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

JUSTIN ROSS WASSERMAN MD PL (NPI 1891098612) is a healthcare organization registered as a clinic/center in Nokomis, Florida and active in the NPI registry since December 2010. The organization lists Justin Ross Wasserman, President, as its authorized official.

NPPES Registry Identity

NPI1891098612
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameJUSTIN ROSS WASSERMAN MD PL
Location Address409 SERANO WAY UNIT 101Nokomis, FL 34275-5241
Mailing Address409 Serano Way Unit 101Nokomis, FL 34275-5241 · (941) 484-8222 · Fax (941) 486-3016
Phone(941) 484-8222
Fax(941) 486-3016
Organization SubpartNo
Authorized OfficialJustin Ross WassermanPresident · (941) 484-8222
Enumeration DateDecember 16, 2010
Last NPPES UpdateJune 3, 2025
NPPES CertifiedJune 3, 2025
✔ NPI 1891098612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in FL · ME106806
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).
409 SERANO WAY UNIT 101, Nokomis, FL 34275
Open in Google Maps ↗

Accepted Insurance

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

Justin Ross Wasserman Md Pl is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Justin Ross Wasserman MD Pl, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Danielle Decubellis, ARNP
Nurse Practitioner
NPI 1023593142
409 SERANO WAY UNIT 101
Nokomis, FL 34275
(941) 484-8222
✔ PECOS✔ Accepts MedicareSame address
Penelope Skopis
Dermatology
NPI 1952806531
409 SERANO WAY UNIT 101
Nokomis, FL 34275
(941) 484-8222
✔ PECOSSame address
Justin Wasserman, MD
Dermatology
NPI 1043453970
409 SERANO WAY UNIT 101
Nokomis, FL 34275
(941) 484-8222
✔ PECOS✔ Accepts MedicareSame 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 Justin Ross Wasserman MD Pl's NPI number?

The NPI number for Justin Ross Wasserman MD Pl is 1891098612. It was assigned to this organization in the NPPES registry on December 16, 2010.

Where is Justin Ross Wasserman MD Pl located?

Justin Ross Wasserman MD Pl is located at 409 Serano Way Unit 101, Nokomis, FL 34275. The listed phone number is (941) 484-8222.

What is Justin Ross Wasserman MD Pl's specialty?

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

Is Justin Ross Wasserman MD Pl enrolled in Medicare?

Yes. Justin Ross Wasserman MD Pl is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Justin Ross Wasserman MD Pl?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Justin Ross Wasserman MD Pl, in Dermatology and Nurse Practitioner. 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, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Justin Ross Wasserman MD Pl accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Justin Ross Wasserman MD Pl 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 Justin Ross Wasserman MD Pl was last updated on June 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.