Active NPI 1891230371 Individual Practitioner Male Practitioner

Dmitriy Shishkin

Nurse Practitioner • Daytona Beach, FL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dmitriy Shishkin is a certified Nurse Practitioner practicing in Daytona Beach, FL. With approximately 10 years of clinical experience since completing medical education in 2016, Dmitriy Shishkin delivers high-quality medical care to the local community at 311 N CLYDE MORRIS BLVD.

Dmitriy Shishkin maintains professional affiliations with Home Docs, Florida Clinical Practice Association Inc, Ability Health Services, Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, residence visit for established patient with moderate level of medical decision making, per day, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

311 N Clyde Morris Blvd

Daytona Beach, FL 321142781

Telephone 3862552340

Associated Practice Facility / Clinic

🏢 Halifax Healthcare Systems Inc Facility NPI 1447236757

Medicare Profile & Education

Medical School

Other

Graduation Year

2016

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Daytona Beach, FL

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

10 Yrs +1.9 yrs vs City Avg

City Avg: 8.1 Yrs

State Avg: 10.0 Yrs

Regional Practice Density

73 Specialists

Practicing in Daytona Beach, FL (8990 Statewide)

Telehealth Adoption Rate

6.8% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

74.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Shishkin (10 Years) 10 Yrs

Daytona Beach Specialty Average (8.1 Years) 8.1 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	77	68	$466.19	$105.77
99213 Established patient office or other outpatient visit, typically 15 minutes	51	43	$336.94	$74.98
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$610.65	$138.51
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	30	24	$191.88	$105.61
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$414.85	$92.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	58	51	$459.69	$106.29
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	57	57	$603.89	$139.41
99213 Established patient office or other outpatient visit, typically 15 minutes	25	24	$325.60	$75.06
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$408.55	$93.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	100	69	$231.73	$101.30
99335 Established patient assisted living visit, typically 25 minutes	48	32	$144.25	$83.22
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	31	22	$104.74	$58.36
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$498.87	$141.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99335 Established patient assisted living visit, typically 25 minutes	348	64	$143.84	$71.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	144	92	$161.54	$79.54
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	52	52	$171.06	$52.01
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	27	15	$22.08	$13.26
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	13	13	$67.67	$37.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99335 Established patient assisted living visit, typically 25 minutes	184	62	$144.25	$82.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	108	85	$161.54	$92.45
99334 Established patient custodial care facility, group care, or assisted living visit, typically 15 minutes	100	47	$91.46	$51.64
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	83	34	$22.08	$13.04
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	42	41	$67.67	$37.52
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	41	41	$174.41	$95.58
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	33	25	$104.74	$59.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99334 Established patient custodial care facility, group care, or assisted living visit, typically 15 minutes	153	60	$91.46	$51.19
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	113	72	$67.67	$37.29
99335 Established patient assisted living visit, typically 25 minutes	52	30	$144.25	$81.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	46	40	$161.54	$91.32
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	43	26	$22.08	$12.59
99336 Established patient assisted living visit, typically 40 minutes	33	23	$205.19	$115.41
99213 Established patient office or other outpatient visit, typically 15 minutes	30	27	$109.75	$62.29
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	28	28	$174.41	$97.12
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	20	20	$174.41	$97.12
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	16	16	$104.74	$58.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99336 Established patient assisted living visit, typically 40 minutes	20	20	$205.19	$115.42
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	14	14	$104.74	$58.84

Medical Specialties & State Licenses

CMS Verified: 2022-10-24

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License FL APRN9288346

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Adult Health

NUCC Taxonomy Code: 363LA2200X

State License FL 9288346

Definition to come...

Hospital & Practice Group Affiliations

Florida Clinical Practice Association Inc

1600 Sw Archer Rd Rm, Gainesville, FL 326103003

Phone: 3522650535

Florida Clinical Practice Association Inc

2000 Sw Archer Rd, Gainesville, FL 326103003

Phone: 3522658250

Florida Clinical Practice Association Inc

2001 Sw 13th St, Gainesville, FL 326081532

Phone: 3522658990

Florida Clinical Practice Association Inc

311 N Clyde Morris Blvd, Daytona Beach, FL 321142766

Florida Clinical Practice Association Inc

1600 Sw Archer Rd, Gainesville, FL 326103003

Florida Clinical Practice Association Inc

311 N Clyde Morris Blvd, Daytona Beach, FL 321142781

Ability Health Services, Inc

1200 Lexington Green Ln, Sanford, FL 327711013

Florida Clinical Practice Association Inc

303 N Clyde Morris Blvd, Daytona Beach, FL 321142709

Phone: 3864254000

Florida Clinical Practice Association Inc

1600 Sw Archer, Gainesville, FL 326103003

Florida Clinical Practice Association Inc

Uf Health Test Site Pop Up 1600 Sw Ar, Gainesville, FL 326103003

Phone: 3523921161

Florida Clinical Practice Association Inc

1600 Sw Archer Rd, Gainesville, FL 326103003

Home Docs

341 W Minnesota Ave, Orange City, FL 327632205

Phone: 3863165439

Ability Health Services And Rehabilitation Lp

1200 Lexington Green Ln, Sanford, FL 327711013

Florida Clinical Practice Association Inc

2001 Sw 13th St, Gainesville, FL 326081532

Phone: 3522658982

Secondary Practice Locations

1600 Sw Archer Rd

Gainesville, FL 326103620

Phone: 3522739000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners

Dr. Patrick Han , MD

Neurological Surgery

NPI 1043203706

Doctor of Medicine (M.D.)

Craig Caldwell , APRN

Nurse Practitioner

NPI 1114482130

Advanced Practice Registered Nurse

Maria Vessell , APRN

Nurse Practitioner - Family

NPI 1184197949

Advanced Practice Registered Nurse

Kathleen Jenkins , AGACNP-BC

Nurse Practitioner

NPI 1225640063

Adult-Gerontology Acute Care Nurse Practitioner (Board Certified)

Dr. Paul Krafft , MD

Neurological Surgery

NPI 1366857245

Doctor of Medicine (M.D.)

Dr. Rohit Khanna , MD

Neurological Surgery

NPI 1922166396

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Practice Location October 24, 2022

Registered at 311 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL 321142781 (Tel: 3862552340)

📍

Updated Business Mailing Address October 24, 2022

Registered at PO BOX 100265, GAINESVILLE, FL 326100265 (Tel: 3522739000)

✅

NPI Profile Active December 20, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location December 20, 2016

Registered at 253 BAYBERRY LAKES BLVD, DAYTONA BEACH, FL 321243620 (Tel: 3863344730)

📍

Updated Business Mailing Address December 20, 2016

Registered at 253 BAYBERRY LAKES BLVD, DAYTONA BEACH, FL 321243620

👤

Provider Name / Credentials Updated December 20, 2016

Recorded as DMITRIY SHISHKIN

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 20, 2016

Nurse Practitioner (License #9288346 in FL)

🟢

Initial NPI Registration & Enumeration December 20, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1891230371

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: December 20, 2016

Last Update: October 24, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 100265

Gainesville, FL 326100265

Phone: 3522739000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.