Penelope Kallis Skopis

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

ME162911 Issued in FL

Practice address

409 Serano Way Unit 101
Nokomis, FL 34275-5241

Phone

(941) 484-8222

NPI assigned

Mar 27, 2018

Last updated

Jun 24, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: pskopis@directaddress.net

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.

• Justin Ross Wasserman MD PL

  • Clinic/Center
  • Nokomis, FL
  • NPI 1891098612
  Medicare reassignment NPD
• Olga Ulitsky MD PL

  • Clinic/Center
  • Venice, FL
  • NPI 1144525676
  NPD

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

{
    "created_epoch": "1522108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750723200000",
    "number": "1952806531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 SERANO WAY UNIT 101",
            "city": "NOKOMIS",
            "state": "FL",
            "postal_code": "342755241",
            "telephone_number": "941-484-8222",
            "fax_number": "941-486-0316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 SERANO WAY UNIT 101",
            "city": "NOKOMIS",
            "state": "FL",
            "postal_code": "342755241",
            "telephone_number": "941-484-8222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 Avenida Del Circo",
            "address_purpose": "LOCATION",
            "city": "Venice",
            "state": "FL",
            "postal_code": "342854108",
            "country_code": "US",
            "telephone_number": "941-484-8222",
            "fax_number": "941-486-0316",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1725 W Harrison St Ste 264",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606123844",
            "country_code": "US",
            "telephone_number": "312-942-2195",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4037 NW 86th Ter Fl 4",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326069277",
            "country_code": "US",
            "telephone_number": "352-594-1925",
            "fax_number": "352-627-4459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SKOPIS",
        "first_name": "PENELOPE",
        "middle_name": "KALLIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-27",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IL",
            "license": "036160030",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME162911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa Santos, APRN
• Sarasota Orthopedic Associates LLC (360 Orthopedics)
• Sarasota Pediatric Physical Therapy, Inc
• Sarasota Wellness Group Inc. (Affinity Home Health)
• Gregory Scher
• SLC of Sorrento, Inc
• Deborah Smith
• Lindsey Smith, PHARMD
• Richard Anthony Sorace, M.D., PHD
• Lindsey Steele, MS, OTR/L

• Dermatology Physician in Nokomis, FL
• Providers in Nokomis, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2025; 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.