Skyline Wound Care Midwest LLC
NPI 1295445179 · Plastic and Reconstructive Surgery Physician · St. Petersburg, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Skyline Wound Care Midwest LLC is a Plastic and Reconstructive Surgery Physician organization in St. Petersburg, FL (NPI 1295445179).
Provider details
- NPI number
- 1295445179
- Entity type
- Organization
- Primary specialty
- Plastic and Reconstructive Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Sharon Palacios, Credentialing Coordinator(877) 940-7200
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs 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
Mailing address
Additional practice locations (1)
- 6900 N Stalworth DrPeoria, IL 61615-9444Phone: (309) 693-1400
Registry dates
- Enumerated
- 2022-12-01
- Last updated
- 2023-03-31
- Certified
- 2023-03-31
Frequently asked questions
- What is Skyline Wound Care Midwest LLC's NPI number?
- Skyline Wound Care Midwest LLC's National Provider Identifier (NPI) is 1295445179, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Skyline Wound Care Midwest LLC?
- Skyline Wound Care Midwest LLC is classified in the NPPES registry as Plastic and Reconstructive Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Skyline Wound Care Midwest LLC located?
- Skyline Wound Care Midwest LLC's practice location on file with NPPES is 7901 4th St N, St. Petersburg, FL 33702.
- What is Skyline Wound Care Midwest LLC's phone number?
- The practice phone number listed in the NPPES registry for Skyline Wound Care Midwest LLC is (877) 970-4200.
- Does Skyline Wound Care Midwest LLC accept Medicare?
- Skyline Wound Care Midwest LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Skyline Wound Care Midwest LLC?
- The authorized official listed on Skyline Wound Care Midwest LLC's NPPES record is Sharon Palacios, Credentialing Coordinator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Skyline Wound Care Midwest LLC's NPI active?
- Yes — Skyline Wound Care Midwest LLC's NPI (1295445179) is active in the NPPES registry as of the last update on 2023-03-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.