REGENCY SKIN INSTITUTE PLLC
NPI 1932630563
Dermatology - MOHS-Micrographic Surgery in Surprise, AZ
About Regency Skin Institute Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
REGENCY SKIN INSTITUTE PLLC (NPI 1932630563) is a healthcare organization registered as a mohs-micrographic surgery in Surprise, Arizona and active in the NPI registry since March 2017. The organization maintains 2 additional practice locations and lists Jason Lee Mussman, Plastic Surgeon, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Accepted 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)
Regency Skin Institute Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
14Medicare enrollment records show 14 clinicians reassign Medicare billing to Regency Skin Institute PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 4 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 2
Clinicians, nearest first (14)
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 Regency Skin Institute PLLC's NPI number?
The NPI number for Regency Skin Institute PLLC is 1932630563. It was assigned to this organization in the NPPES registry on March 24, 2017.
Where is Regency Skin Institute PLLC located?
Regency Skin Institute PLLC is located at 14725 W Mountain View Blvd, Surprise, AZ 85374. The listed phone number is (623) 243-9077.
What is Regency Skin Institute PLLC's specialty?
The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.
Is Regency Skin Institute PLLC enrolled in Medicare?
Yes. Regency Skin Institute PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Regency Skin Institute PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 14 clinicians in 2 Medicare specialties reassign their Medicare billing to Regency Skin Institute PLLC. 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 (12) and Pathology (2). Of these, 1 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Regency Skin Institute PLLC accept?
Health plans from Ambetter Health and Ambetter from Arizona Complete Health list Regency Skin Institute PLLC 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 Regency Skin Institute PLLC was last updated on October 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days 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.
# Regency Skin Institute Pllc · NPI 1932630563
MOHS-Micrographic Surgery organization in Surprise, Arizona. Organization record, active in the CMS NPPES registry since March 24, 2017.
## Identity
- **NPI:** 1932630563 (Entity type: Organization)
- **Enumerated:** March 24, 2017
- **Primary specialty:** Dermatology - MOHS-Micrographic Surgery · taxonomy 207ND0101X
- **Organization subpart:** No
- **Authorized official:** Jason Mussman, PLASTIC SURGEON
## Practice location
- **Address:** 14725 W MOUNTAIN VIEW BLVD, Surprise, AZ 85374-2704
- **Phone:** (623) 243-9077
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 14 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Dermatology (12), Pathology (2); 1 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 9, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1932630563) · Data from the CMS NPPES public registry.