Skylar Raitt

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601012903 Issued in MI

Practice address

133 W Main St Ste 251
Northville, MI 48167-1575

Phone

(248) 963-5915

Fax

(248) 278-4854

NPI assigned

Nov 25, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Wayne State University School of Medicine, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mi Skin Center, PLLCGroup PAC ID 2567877145, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/ez_00205

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mi Skin Center, PLLC

  • Dermatology Physician
  • Northville, MI
  • NPI 1114515608
  Medicare reassignment Care Compare group NPD
• Novahealth Urgent Care of Southfield

  • Urgent Care Clinic/Center
  • Southfield, MI
  • NPI 1841975620
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1732492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1043036932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3806 ISLAND PARK DR",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483291906",
            "telephone_number": "248-880-1801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 W MAIN ST STE 251",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481671575",
            "telephone_number": "248-963-5915",
            "fax_number": "248-278-4854"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25775 W 10 Mile Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480334856",
            "country_code": "US",
            "telephone_number": "248-450-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAITT",
        "first_name": "SKYLAR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-25",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601012903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Quest Diagnostics Incorporated
• R3A Corp
• Radakovic Kids Co Inc
• Radiology Reads PLLC
• Ateeq Rahman, DPT
• Achyutha Valli Rallapalli, DDS
• Randall a. Bickle, DO., PC
• Mary L Randolph
• Traci L Rasor, RN
• Jeffrey E Rautio, O.D.

• Physician Assistant in Northville, MI
• Providers in Northville, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.