IndividualActive
Skylar Raitt
NPI 1043036932 · Physician Assistant · Northville, MI
Provider details
- NPI number
- 1043036932
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 5601012903 (MI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
133 W Main St Ste 251
Northville, MI 48167-1575
Phone: (248) 963-5915
Fax: (248) 278-4854
Street-level locationGet directions
Mailing address
3806 Island Park Dr
Waterford, MI 48329-1906
Additional practice locations (1)
- 25775 W 10 Mile Rd Ste BSouthfield, MI 48033-4856Phone: (248) 450-5000
Registry dates
- Enumerated
- 2024-11-25
- Last updated
- 2026-06-01
- Certified
- 2026-06-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.