Individual provider Active NPI

Skyler Martin, CRNP

  • Family Nurse Practitioner
  • Foley, AL
National Provider Identifier
1093195091
Registry record updated Feb 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-135882 Issued in AL
Practice address
669 S McKenzie St
Foley, AL 36535
Phone
(251) 625-6896
NPI assigned
Jun 4, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-135882 AL Primary

Addresses

Primary practice location

669 S McKenzie St
Foley, AL 36535

Mailing address

29653 Anchor Cross Blvd
Daphne, AL 36526-9594
Phone (251) 625-6896

Other practice location 1

29653 Anchor Cross Blvd
Daphne, AL 36526-9594
Phone (251) 625-6896

Other identifiers 5

IdentifierTypeStateIssuer
102I505152OtherALMEDICARE PTAN
224337MedicaidAL
P02566945OtherALRAILROAD MEDICARE
183362MedicaidAL
189374MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151117000659 AL Practitioner - Nurse Practitioner 9133439466 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Cancer Center PCGroup PAC ID 5597860403, 25 clinicians

Practice addresses (Care Compare)

1703 N Bunner St
Foley, AL 36535-2229
Phone (251) 625-6896

29653 Anchor Cross Blvd
Daphne, AL 36526-9594
Phone (251) 625-6896

6701 Airport Blvd
Mobile, AL 36608-6705
Phone (251) 625-6896

Hospital & facility affiliations

  • Baldwin Health Hospital, Foley, AL, CCN 010083

Merit-based Incentive Payment System (MIPS)

Final score
91.81 of 100Reported as subgroup
Quality
91.87
Promoting interoperability
100
Improvement activities
40
Cost
71.54

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Cancer Center, PC CurrentSince Sep 6, 2015 Accepting new patients
Sacred Heart Health System, Inc. Current Accepting new patients
Southern Cancer Center, PC CurrentSince Sep 6, 2015 Accepting new patients

Locations

29653 Anchor Cross Blvd
Daphne, AL 36526
Phone (251) 626-1755

669 S McKenzie St
Ste 103
Foley, AL 36535
Phone (850) 934-2180

669 S McKenzie St
Foley, AL 36535
Phone (251) 970-2260

6701 Airport Blvd
Bldg B
Mobile, AL 36608
Phone (251) 633-1890

6701 Airport Blvd
Mobile, AL 36608
Phone (251) 545-4776

3719 Dauphin St
Fl 5
Mobile, AL 36608
Phone (251) 607-5061

Interoperability endpoints

  • Direct secure messaging: skyler.sherrell@southerncancercenter.ikm.direct-ci.com

Organizations & group practices 3

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

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1433376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645574400000",
    "number": "1093195091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29653 ANCHOR CROSS BLVD",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365269594",
            "telephone_number": "251-625-6896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "669 S MCKENZIE ST",
            "city": "FOLEY",
            "state": "AL",
            "postal_code": "36535",
            "telephone_number": "251-625-6896"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29653 Anchor Cross Blvd",
            "address_purpose": "LOCATION",
            "city": "Daphne",
            "state": "AL",
            "postal_code": "365269594",
            "country_code": "US",
            "telephone_number": "251-625-6896",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "SKYLER",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-04",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-135882",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "102I505152",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "224337",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P02566945",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "183362",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "189374",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Foley, AL

Sources for this page

Verify at the official NPI Registry.