Victoria Sklavos, NURSE PRACTITIONER

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704301101 Issued in MI

Practice address

21844 23 Mile Rd
Macomb, MI 48042-4422

Phone

(586) 598-8115

NPI assigned

Feb 23, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Medcenter Urgent Care PLLC

  • Urgent Care Clinic/Center
  • Sterling Heights, MI
  • NPI 1699244533
  Medicare reassignment NPD
• Observation Physicians of Macomb PLLC

  • Emergency Medicine Physician
  • Mount Clemens, MI
  • NPI 1144855941
  Medicare reassignment NPD
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  MI, Nurse Practitioner

  Medicare reassignment NPD

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

{
    "created_epoch": "1582416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774915200000",
    "number": "1356975916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36433 BAGDAD DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483123012",
            "telephone_number": "248-410-3495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21844 23 MILE RD",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480424422",
            "telephone_number": "586-598-8115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKLAVOS",
        "first_name": "VICTORIA",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-23",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704301101",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MI",
            "license": "4704301101",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1627723",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathleen Lenore Simenton, OTR
• Charanjit Kaur Singh, RPH
• Tejinder Singh, PMHNP-BC
• Carly Sisoy
• Skin Care Physicians PC
• Ryan Skudas, PHARM D.
• Slagle Family Chiropractic PLLC
• Sma Management LLC
• SMC Home Care Agency Inc
• Alexandra Smith

• Family Nurse Practitioner in Macomb, MI
• Providers in Macomb, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.