Peter Skellenger

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

4704285403 Issued in MI

Practice address

714 Spruce St
Apt #E
Marquette, MI 49855-3747

Phone

(906) 399-3611

NPI assigned

Oct 23, 2015

Last updated

Jan 9, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

South Shore Anesthesia StaffingGroup PAC ID 0547686677, 4 clinicians

Acquisition Bell Hospital LLCGroup PAC ID 3971730987, 12 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baraga County Memorial Hospital Hospital, L' Anse, MI, CCN 231307

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/045c8928-6944-45ab-848b-c64a6a14eb07/
• FHIR API: https://fhir-usa.unify.chbase.com/org/baraga-36b23c19

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• South Shore Anesthesia Staffing

  • Certified Registered Nurse Anesthetist
  • Marquette, MI
  • NPI 1013525112

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD Authorized official
• Acquisition Bell Hospital LLC

  dba UP Health System Bell

  • Critical Access Hospital
  • Ishpeming, MI
  • NPI 1699101345
  Medicare reassignment Care Compare group NPD
• Aspirus Ironwood Hospital & Clinics, Inc.

  • Family Medicine Physician
  • Ironwood, MI
  • NPI 1992704753
  Medicare reassignment NPD
• Aspirus Keweenaw

  dba Aspirus Laurium Clinic

  • Rural Health Clinic/Center
  • Laurium, MI
  • NPI 1205998713
  Medicare reassignment NPD
• Baraga County Memorial Hospital

  • Critical Access Hospital
  • L'Anse, MI
  • NPI 1558479824
  Medicare reassignment NPD
• Munising Memorial Hospital Association

  dba Bay Care Medical Center

  • Family Medicine Physician
  • Munising, MI
  • NPI 1629120415
  Medicare reassignment NPD
• Portage Hospital LLC

  dba UP Health System Portage

  • General Acute Care Hospital
  • Hancock, MI
  • NPI 1245667229
  Medicare reassignment NPD
• Acquisition Bell Hospital LLC

  dba UP Health System Bell

  • Anesthesiology Physician
  • Ishpeming, MI
  • NPI 1013789015
  NPD
• Aspirus Ironwood Hospital & Clinics, Inc.

  dba Aspirus Palliative Medicine - Michigan

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Ironwood, MI
  • NPI 1609743590
  NPD
• Munising Memorial Hospital Association

  dba Baycare Medical Center

  • Family Medicine Physician
  • Au Train, MI
  • NPI 1205673241
  NPD
• Munising Memorial Hospital Association

  • Certified Registered Nurse Anesthetist
  • Munising, MI
  • NPI 1346569498

  Nurse Anesthetist, Certified Registered

  NPD
• Portage Hospital LLC

  dba UP Health System Portage

  • Durable Medical Equipment & Medical Supplies
  • Hancock, MI
  • NPI 1710314547
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baraga County Memorial Hospital

  • Critical Access Hospital
  • L'Anse, MI
  • NPI 1558479824
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1445558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452297600000",
    "number": "1003288531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 SPRUCE ST",
            "address_2": "APT #E",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498553747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 SPRUCE ST",
            "address_2": "APT #E",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498553747",
            "telephone_number": "906-399-3611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKELLENGER",
        "first_name": "PETER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-10-23",
        "last_updated": "2016-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "4704285403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Margaret Simula, M.A.
• Singletrack Health, PC
• Michael Sippola
• Carla Ellen Skaates, DDS
• Emily Skellenger, OTRL
• Ann M Skewis, FNP-BC
• Jade Skowronek, CHW
• Jaclyn Skradski
• Samuel J Skradski
• Alyssa Marie-Schnurer Slattery, LMSW

• Certified Registered Nurse Anesthetist in Marquette, MI
• Providers in Marquette, MI by specialty
• Certified Registered Nurse Anesthetist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.