Individual provider Active NPI

Skylar Shuminer, MMS, PA-C

  • Physician Assistant
  • Boca Raton, FL
National Provider Identifier
1225708399
Registry record updated Sep 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
21856 Arriba Real Apt 5D
Boca Raton, FL 33433-3105
Phone
(954) 494-7240
NPI assigned
Sep 20, 2021
Last updated
Sep 20, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X FL Primary

Addresses

Primary practice location

21856 Arriba Real Apt 5D
Boca Raton, FL 33433-3105

Mailing address

21856 Arriba Real Apt 5D
Boca Raton, FL 33433-3105

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20250516001610 TX Practitioner - Physician Assistant 9739607458 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
American Radiology Consultants PLLC CurrentSince May 1, 2025 Accepting new patients

Locations

3500 Gaston Ave
Dallas, TX 75246

1405 W Jefferson St
Waxahachie, TX 75165
Phone (972) 875-9000

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1632096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632096000000",
    "number": "1225708399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21856 ARRIBA REAL APT 5D",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334333105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21856 ARRIBA REAL APT 5D",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334333105",
            "telephone_number": "954-494-7240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUMINER",
        "first_name": "SKYLAR",
        "credential": "MMS, PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-20",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.