MEDICARE: MONICA CRISTINA SKERSKI APRN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208M00000X	Hospitalist Physician	APRN11003373	FL
2	363L00000X	Nurse Practitioner	123516	WV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	NJOBI	OTHER	FL	BCBS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1245883925
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MONICA CRISTINA SKERSKI APRN

Provider Business Mailing Address
First Line	:	1078 N STEP ST
Second Line	:
City	:	NORTH PORT
State	:	FL
Zip	:	34286-8923
Country	:	US
Telephone Number	:	941-258-1361
Fax Number	:

Provider Business Practice Location Address
First Line	:	9160 FORUM CORPORATE PKWY
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33905-7805
Country	:	US
Telephone Number	:	941-258-1361
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/22/2019
Last Update Date	:	04/16/2026

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