SPACE COAST SKIN SOLUTIONS LLC
NPI 1891688685
Nurse Practitioner in Grant, FL
About Space Coast Skin Solutions Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SPACE COAST SKIN SOLUTIONS LLC (NPI 1891688685) is a healthcare organization registered as a nurse practitioner in Grant, Florida and active in the NPI registry since May 2025. The organization lists Elyse Huff, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Space Coast Skin Solutions Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Space Coast Skin Solutions LLC, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (2)
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 Space Coast Skin Solutions LLC's NPI number?
The NPI number for Space Coast Skin Solutions LLC is 1891688685. It was assigned to this organization in the NPPES registry on May 30, 2025.
Where is Space Coast Skin Solutions LLC located?
Space Coast Skin Solutions LLC is located at 5839 Snook Ln, Grant, FL 32949. The listed phone number is (321) 720-2101.
What is Space Coast Skin Solutions LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Space Coast Skin Solutions LLC enrolled in Medicare?
Yes. Space Coast Skin Solutions LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Space Coast Skin Solutions LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Space Coast Skin Solutions 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 Space Coast Skin Solutions LLC was last updated on May 30, 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.
# Space Coast Skin Solutions Llc · NPI 1891688685
Nurse Practitioner organization in Grant, Florida. Organization record, active in the CMS NPPES registry since May 30, 2025.
## Identity
- **NPI:** 1891688685 (Entity type: Organization)
- **Enumerated:** May 30, 2025
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **Organization subpart:** No
- **Authorized official:** Elyse Huff, OWNER
## Practice location
- **Address:** 5839 SNOOK LN, Grant, FL 32949-2253
- **Phone:** (321) 720-2101
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 30, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1891688685) · Data from the CMS NPPES public registry.