Individual provider Active NPI

Christopher J. Pranckun, PA-C

  • Dermatology Physician
  • West Palm Beach, FL
National Provider Identifier
1992883904
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
PA9102109 Issued in FL
Practice address
400 Executive Center Drive
Suite 110
West Palm Beach, FL 33401-2919
Phone
(561) 659-1510
Fax
(501) 651-9632
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X PA9102109 FL Primary

Addresses

Primary practice location

400 Executive Center Drive
Suite 110
West Palm Beach, FL 33401-2919

Mailing address

400 Executive Center Drive
Suite 110
West Palm Beach, FL 33401-2919
Phone (561) 659-1510

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
I20051221000551 FL Practitioner - Physician Assistant 4789606534 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Associates of the Palm Beaches PLLCGroup PAC ID 6709861602, 13 clinicians

Practice addresses (Care Compare)

10335 N Military TRL
Suite a
Palm Beach Gardens, FL 33410-4634
Phone (561) 659-1510

1551 Forum PL
Suite 100a
West Palm Beach, FL 33401-2305

400 Executive Ctr Dr
Suite 110
West Palm Beach, FL 33401-2919
Phone (561) 659-1510

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score
40.82 of 100Reported as group
Quality
9.1
Promoting interoperability
100
Improvement activities
0
Cost
43.64

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Shapiro and Borenstein Dermatology LLP Dermatology Past Accepting new patients
Dermatology Associates of the Palm Beaches PLLC Dermatology PastSince Jan 1, 1990 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779321600000",
    "number": "1992883904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 EXECUTIVE CENTER DRIVE",
            "address_2": "SUITE 110",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334012919",
            "telephone_number": "561-659-1510",
            "fax_number": "501-651-9632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 EXECUTIVE CENTER DRIVE",
            "address_2": "SUITE 110",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334012919",
            "telephone_number": "561-659-1510",
            "fax_number": "501-651-9632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRANCKUN",
        "first_name": "CHRISTOPHER",
        "middle_name": "J.",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "PA9102109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.