Individual provider Active NPI

Rebecca Skinner, APRN-FNP

  • Family Nurse Practitioner
  • Bartow, FL
National Provider Identifier
1376278788
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11019526 Issued in FL
Practice address
PO Box 1664
Bartow, FL 33831-1664
Phone
(863) 304-3550
NPI assigned
Jul 19, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11019526 FL Primary

Addresses

Primary practice location

PO Box 1664
Bartow, FL 33831-1664

Mailing address

PO Box 1664
Bartow, FL 33831-1664
Phone (863) 304-3550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20250103000139 FL Practitioner - Nurse Practitioner 9133656119 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11019526FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gracie Mae Healthcare Family Current Accepting new patients
Pioneer Medical Group, PL Family CurrentSince Dec 15, 2024 Accepting new patients

Locations

515 Chesapeake Dr
Tarpon Springs, FL 34689
Phone (727) 934-4629

13067 N Telecom Pkwy
Temple Terrace, FL 33637
Phone (813) 333-9108

38250 A Ave
Zephyrhills, FL 33542
Phone (813) 732-5608

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1658188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1376278788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1664",
            "city": "BARTOW",
            "state": "FL",
            "postal_code": "338311664",
            "telephone_number": "863-304-3550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 1664",
            "city": "BARTOW",
            "state": "FL",
            "postal_code": "338311664",
            "telephone_number": "863-304-3550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKINNER",
        "first_name": "REBECCA",
        "name_prefix": "Mrs.",
        "credential": "APRN-FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-19",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11019526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartow, FL

Sources for this page

Verify at the official NPI Registry.