Organization Active NPI

Skinner Medical LLC

  • Medical Physician Assistant
  • Elk City, OK
National Provider Identifier
1013721463
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Legal business name
SKINNER MEDICAL LLC
Practice address
1925 W 3Rd St Ste 1
Elk City, OK 73644-0001
Phone
(580) 243-9682
Fax
(580) 297-9096
NPI assigned
Feb 5, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2026

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

Authorized official

Name
Ashlee Lynn Skinner, PA CNPI 1942471651
Title
Owner
Phone
(580) 243-9682

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363AM0700X Primary

Addresses

Primary practice location

1925 W 3Rd St Ste 1
Elk City, OK 73644-0001

Mailing address

PO Box 378
Elk City, OK 73648-0378
Phone (580) 243-9682

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250603004099 OK Part B Supplier - Clinic/Group Practice 0345759007 Receives reassigned benefits from 1 practitioner
Practice locations: Elk City, OK

National Provider Directory

National Provider Directory

Locations

607 S Main St
Elk City, OK 73644
Phone (580) 243-9682

1925 W 3rd St
Ste 1
Elk City, OK 73644
Phone (580) 243-9682

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1738713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780617600000",
    "number": "1013721463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 378",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736480378",
            "telephone_number": "580-243-9682",
            "fax_number": "580-297-9096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 W 3RD ST STE 1",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736440001",
            "telephone_number": "580-243-9682",
            "fax_number": "580-297-9096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKINNER MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-05",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A",
        "authorized_official_last_name": "SKINNER",
        "authorized_official_first_name": "ASHLEE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-243-9682",
        "authorized_official_credential": "PA C"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.