SKYLER MARIE JOHNSON (PA-C) – Surgical Physician Assistant, NPI 1659632875

SKYLER MARIE JOHNSON (PA-C) is a healthcare provider. based in Hudson, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA9106584 (FL). The NPI Number for SKYLER MARIE JOHNSON (PA-C) is 1659632875

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
SKYLER MARIE JOHNSON (PA-C)
NPI
1659632875
Phone
(727) 862-6524
Address
7529 MEDICAL DR
Enumeration Date
5 June 2012
Last Update Date
29 March 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3178054640
Graduation Year
2012 (14 years ago)
PAC ID
4082860218
Group Practice PAC ID
1456628296
Professional Enrollment ID
I20120803000416
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:14State licenses:1Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

Provider Addresses for SKYLER MARIE JOHNSON (PA-C)

  • 7529 MEDICAL DR

    HUDSON, FL 346676502

    Phone: (727) 862-6524

    Fax: (727) 862-6439

    Type: Mailing

  • 720 W OAK ST STE 303

    KISSIMMEE, FL 347414992

    Phone: (407) 520-3947

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-08-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120803000416IPhysician AssistantFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 34667)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1456628296View full group profile

Reviews

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Frequently asked questions

Is there an official ID for SKYLER MARIE JOHNSON (PA-C) in U.S. healthcare records?
The official identifier for SKYLER MARIE JOHNSON (PA-C) is NPI 1659632875.
Is SKYLER MARIE JOHNSON (PA-C) shown as active in public data?
Registry records indicate SKYLER MARIE JOHNSON (PA-C) maintains an active NPI.
What area of care is associated with SKYLER MARIE JOHNSON (PA-C)?
SKYLER MARIE JOHNSON (PA-C)'s record emphasizes Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
What locale is associated with SKYLER MARIE JOHNSON (PA-C)?
Directory geography for SKYLER MARIE JOHNSON (PA-C) centers on Hudson, Florida.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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