DMITRIY SHISHKIN
NPI 1891230371
Nurse Practitioner in Daytona Beach, FL

Q: What is Dmitriy Shishkin's NPI number?

The NPI number for Dmitriy Shishkin is 1891230371. It was assigned to this individual provider in the NPPES registry on December 20, 2016.

Q: What is Dmitriy Shishkin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Dmitriy Shishkin was last updated on October 24, 2022. 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.

Active since December 20, 2016PECOS EnrolledAccepts Medicare Assignment

311 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114(386) 255-2340 Get Directions Write a Review

NPPES record last updated: October 24, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Oct 24, 2022, Dec 20, 2016 (2 updates tracked since 2016).

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About Dmitriy Shishkin NPPES

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

DMITRIY SHISHKIN (NPI 1891230371) is an individual nurse practitioner in Daytona Beach, Florida, licensed in Florida (APRN9288346) and active in the NPI registry since December 2016. He is enrolled in Medicare PECOS, is affiliated with Halifax Health Medical Center, and maintains a secondary practice location in Gainesville.

NPPES Registry Identity

NPI1891230371

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameDMITRIY SHISHKIN

Location Address311 N CLYDE MORRIS BLVDDaytona Beach, FL 32114-2781

Mailing AddressPo Box 100265Gainesville, FL 32610-0265 · (352) 273-9000

Phone(386) 255-2340

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateDecember 20, 2016

Last NPPES UpdateOctober 24, 20222 updates tracked since enumeration

NPPES CertifiedOctober 24, 2022

✔ NPI 1891230371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in FL · APRN9288346

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 9288346 (FL)

311 N CLYDE MORRIS BLVD, Daytona Beach, FL 32114

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Secondary Practice Location 1

Location 11600 SW Archer RdGainesville, FL 32610-3620 · Phone (352) 273-9000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dmitriy Shishkin is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1557626991

PECOS Enrollment IDI20180605002880

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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

77 services68 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

51 services43 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

34 services34 patients

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349

An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.

30 services24 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

13 services13 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Halifax Health Medical Center

Acute Care Hospitals · Daytona Beach, FL

1/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100017

Location303 N Clyde Morris BlvdDaytona Beach, FL 32114 · Volusia County

Emergency services Birthing friendly

Adventhealth Deland

Acute Care Hospitals · Deland, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number100045

Location701 W Plymouth AveDeland, FL 32720 · Volusia County

Emergency services

Adventhealth Daytona Beach

Acute Care Hospitals · Daytona Beach, FL

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number100068

Location301 Memorial Medical ParkwayDaytona Beach, FL 32117 · Volusia County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32114 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MR. J PATRICK KERR CRNA

Nurse Anesthetist, Certified Registered

311 N CLYDE MORRIS BLVD, SUITE 350
DAYTONA BEACH, FL 32114

Volusia County (386) 255-1266

DR. BENNETT PETER SCAGLIA M.D.

Urology

311 N CLYDE MORRIS BLVD, SUITE 360
DAYTONA BEACH, FL 32114

Volusia County (386) 254-4199

MS. KIMBERLY KAY KOEVENIG RD, LD/N, CDE

Dietitian, Registered

311 N CLYDE MORRIS BLVD, SUITE 440-OUTPATIENT DIABETES EDUCATION, HALIFAX HEALTH
DAYTONA BEACH, FL 32114

Volusia County (386) 258-4829

HALIFAX HEALTHCARE SYSTEMS, INC

Neurological Surgery

311 N CLYDE MORRIS BLVD, SUITE 550
DAYTONA BEACH, FL 32114

Volusia County (386) 254-4000

CLAYTON T SAXOUR CRNA

Nurse Anesthetist, Certified Registered

311 N CLYDE MORRIS BLVD, SUITE 350
DAYTONA BEACH, FL 32114

Volusia County (386) 255-1266

PATRICIA GONZALEZ

Nurse Anesthetist, Certified Registered

311 N CLYDE MORRIS BLVD
DAYTONA BEACH, FL 32114

Volusia County (386) 254-4000

BRENDA L. HART FNP-C, CRNP, CWON

Nurse Practitioner (Family)

311 N CLYDE MORRIS BLVD
DAYTONA BEACH, FL 32114

Volusia County (386) 425-4267

DAVID SCHULTZ DO

Anesthesiology

311 N CLYDE MORRIS BLVD, SUITE 350
DAYTONA BEACH, FL 32114

Volusia County (386) 255-1266

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 Dmitriy Shishkin's NPI number?

The NPI number for Dmitriy Shishkin is 1891230371. It was assigned to this individual provider in the NPPES registry on December 20, 2016.

Where is Dmitriy Shishkin located?

Dmitriy Shishkin practices at 311 N Clyde Morris Blvd, Daytona Beach, FL 32114. The listed phone number is (386) 255-2340.

What is Dmitriy Shishkin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Dmitriy Shishkin enrolled in Medicare?

Yes. Dmitriy Shishkin is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Dmitriy Shishkin accept?

Health plans from AvMed list Dmitriy Shishkin 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.

Is Dmitriy Shishkin affiliated with any hospitals?

According to CMS data, Dmitriy Shishkin is affiliated with Halifax Health Medical Center, Adventhealth Deland and Adventhealth Daytona Beach.

When was this NPI record last updated?

The NPPES record for Dmitriy Shishkin was last updated on October 24, 2022. 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.