Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dmitriy Shishkin

Individual provider Adult Health Nurse Practitioner · NPI 1891230371

Dmitriy Shishkin is a Nurse Practitioner in Daytona Beach, Florida. Qualified in 2016, 10 years ago. Practices with Ability Health Services, Inc, a 1,232-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
10
Licensed in
FL
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

311 N Clyde Morris Blvd
Daytona Beach, FL 32114-2781
Phone: (386) 255-2340
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1600 Sw Archer Rd, Gainesville, FL 32610-3620 — (352) 273-9000

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APRN9288346 (FL)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 9288346 (FL)

Record details

NPI number1891230371
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 20, 2016
Last updated in NPPESOctober 24, 2022
Certification dateOctober 24, 2022
Mailing addressPo Box 100265, Gainesville, FL 32610-0265

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Ability Health Services, Inc — 1232 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations14 on file with Medicare

Other providers in Daytona Beach