Dmitriy Shishkin
NPI 1891230371ActiveIndividual· Nurse Practitioner· Daytona Beach, FL
Nurse Practitioner with Florida Clinical Practice Association Inc and 1 other group, practicing in Daytona Beach, Florida. 160 Medicare patients in 2024, $17,239 paid; nearly all of their 416 Part D prescriptions were generic (96%). Lists Adventhealth Daytona Beach and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1891230371 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Dec 20, 2016 |
| Last updated in NPPES | Oct 24, 2022 |
| Certified by provider | Oct 24, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | APRN9288346 | FL |
| Nurse Practitioner, Adult Health | 363LA2200X | 9288346 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (FL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 160 |
|---|---|
| Services billed | 232 across 14 procedure codes |
| Paid by Medicare | $17,239 |
Part D prescriptions in 2024
| Prescriptions (claims) | 416 · 547 30-day fills |
|---|---|
| Patients | 219 |
| Total drug cost | $9,530 |
| Generic share | 96% of claims |
Education and affiliations
| Graduation year | 2016 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical groups
- Florida Clinical Practice Association IncGainesville, FL · 1,924 clinicians
- Home DocsOrange City, FL · 3 clinicians
Hospital affiliations
- Adventhealth Daytona BeachDaytona Beach, FL
- Adventhealth DelandDeland, FL
- Halifax Health Medical CenterDaytona Beach, FL
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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