Active NPI
Ray Everett Skelton, PA-C
- Physician Assistant
- Omaha, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1411
- Practice address
- 5005 S 153Rd St Ste 100
Omaha, NE 68137-5070 - Phone
- (402) 717-1255
- Fax
- (402) 818-1924
- NPI assigned
- Mar 23, 2007
- Last updated
- May 6, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 002162 | IA | |
| Physician Assistant | 363A00000X | PAC1057 | ND | |
| Physician Assistant | 363A00000X | 1411 | NE | Primary |
Addresses
Primary practice location
5005 S 153Rd St Ste 100
Omaha, NE 68137-5070
Mailing address
7261 Mercy Rd
Omaha, NE 68124-2311
Other practice location 1
4315 Ottawa St
Bismarck, ND 58503-6175
Phone (402) 717-1255
Other practice location 2
1288 Valley View Dr
Council Bluffs, IA 51503-5245
Phone (402) 717-1255
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE, IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2115 14TH St
Suite 100
Auburn, NE 68305-1760
Phone (402) 274-4993
5005 S 153Rd St
Suite 100
Omaha, NE 68137-5070
Phone (402) 717-1255
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3616 | AZ | MD | Neurorehabilitation Occupational Therapist |
| PAC1057 | ND | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alegent Health Quick Care LLC | Physician Assistant | Current | Accepting new patients |
| Alegent Creighton Clinic | Current | Accepting new patients | |
| Alegent Creighton Clinic | Physician Assistant | Current | Accepting new patients |
| Desert Cardiothoracic Surgeons, PLLC | Past | Accepting new patients |
Locations
800 Mercy Dr
Ste 220
Council Bluffs, IA 51503
Phone (712) 388-2660
16901 Lakeside Hills Ct
Omaha, NE 68130
Phone (402) 572-6500
5005 S 153rd St
Ste 100
Omaha, NE 68137
Phone (402) 614-1258
7261 Mercy Rd
Omaha, NE 68124
Phone (402) 398-6248
Organizations & group practices 8
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.
-
- Family Medicine Physician
- Omaha, NE
- NPI 1215066568
-
- Family Medicine Physician
- Auburn, NE
- NPI 1821169459
-
dba CHI Health Clinic
- Family Medicine Physician
- Council Bluffs, IA
- NPI 1598811069
Physician Assistant
-
- Multi-Specialty Clinic/Center
- Omaha, NE
- NPI 1417912114
-
dba CHI Health Quick Care LLC
- Family Medicine Physician
- Council Bluffs, IA
- NPI 1083139224
Physician Assistant
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Mesa, AZ
- NPI 1801840988
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Auburn, NE
- NPI 1891736237
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746489600000",
"number": "1013034040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7261 MERCY RD",
"city": "OMAHA",
"state": "NE",
"postal_code": "681242311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5005 S 153RD ST STE 100",
"city": "OMAHA",
"state": "NE",
"postal_code": "681375070",
"telephone_number": "402-717-1255",
"fax_number": "402-818-1924"
}
],
"practiceLocations": [
{
"address_1": "4315 Ottawa St",
"address_purpose": "LOCATION",
"city": "Bismarck",
"state": "ND",
"postal_code": "585036175",
"country_code": "US",
"telephone_number": "402-717-1255",
"fax_number": "402-818-1924",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1288 Valley View Dr",
"address_purpose": "LOCATION",
"city": "Council Bluffs",
"state": "IA",
"postal_code": "515035245",
"country_code": "US",
"telephone_number": "402-717-1255",
"fax_number": "402-818-1924",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SKELTON",
"first_name": "RAY",
"middle_name": "EVERETT",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-23",
"last_updated": "2025-05-06",
"certification_date": "2025-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IA",
"license": "002162",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "ND",
"license": "PAC1057",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NE",
"license": "1411",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.