Individual provider Active NPI

Melissa M Skaff-Schultz, ARNP

  • Adult Health Nurse Practitioner
  • Clearwater, FL
National Provider Identifier
1730103698
Registry record updated Dec 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
ARNP1526022 Issued in FL
Practice address
28960 US Highway 19 N
Suite 100
Clearwater, FL 33761-2403
Phone
(727) 787-7970
NPI assigned
Jul 26, 2006
Last updated
Dec 11, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X ARNP1526022 FL Primary

Addresses

Primary practice location

28960 US Highway 19 N
Suite 100
Clearwater, FL 33761-2403

Mailing address

28960 US Highway 19 N Ste 100
Clearwater, FL 33761-2403
Phone (727) 787-7970

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
I20041230000660 FL Practitioner - Nurse Practitioner 1254399694 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sheila Sagar MD PAGroup PAC ID 9638439094, 2 clinicians
My Medical Access LLPGroup PAC ID 2567637937, 3 clinicians

Practice addresses (Care Compare)

28960 US 19
Suite 100
Clearwater, FL 33761-2403
Phone (727) 787-7970

28960 US Hwy 19 N
Suite 100
Clearwater, FL 33761-2403
Phone (727) 787-7970

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sheila Sagar MD PA Adult Health CurrentSince Nov 1, 2017 Accepting new patients
Hans a Langschwager MD PA Past Accepting new patients

Locations

28960 US Highway 19 N
Ste 100
Clearwater, FL 33761
Phone (727) 786-1747

Organizations & group practices 3

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512950400000",
    "number": "1730103698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28960 US HIGHWAY 19 N STE 100",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337612403",
            "telephone_number": "727-787-7970",
            "fax_number": "727-787-8524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28960 US HIGHWAY 19 N",
            "address_2": "SUITE 100",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337612403",
            "telephone_number": "727-787-7970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKAFF-SCHULTZ",
        "first_name": "MELISSA",
        "middle_name": "M",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2017-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP1526022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.