Individual provider Active NPI

Simona Sokolska

  • Physician Assistant
  • Palm Coast, FL
National Provider Identifier
1871387266
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
33 Old Kings Rd N
Palm Coast, FL 32137-8238
Phone
(386) 677-9044
NPI assigned
Apr 8, 2025
Last updated
Sep 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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 Primary

Addresses

Primary practice location

33 Old Kings Rd N
Palm Coast, FL 32137-8238

Mailing address

400 Lakebridge Plaza Dr
Ormond Beach, FL 32174-5157

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
I20251111000437 FL Practitioner - Physician Assistant 2365932035 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Parks Dermatology Center LLCGroup PAC ID 7315985686, 17 clinicians

Practice addresses (Care Compare)

37 Old Kings N Rd
Palm Coast, FL 32137-8227
Phone (386) 523-1400

400 Lakebridge Plaza Dr
Ormond Beach, FL 32174-5157
Phone (386) 677-9044

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Parks Dermatology Center LLC CurrentSince Sep 24, 2025 Accepting new patients

Locations

400 Lakebridge Plaza Dr
Ormond Beach, FL 32174
Phone (386) 677-9044

33 Old Kings Rd N
Palm Coast, FL 32137
Phone (386) 677-9044

37 Old Kings Rd N
Palm Coast, FL 32137
Phone (386) 225-4607

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": "1744070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1871387266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 LAKEBRIDGE PLAZA DR",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321745157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 OLD KINGS RD N",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321378238",
            "telephone_number": "386-677-9044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOKOLSKA",
        "first_name": "SIMONA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-08",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Coast, FL

Sources for this page

Verify at the official NPI Registry.