Individual provider Active NPI

Caitlin Skelley Hoover, PA-C

  • Physician Assistant
  • Manvel, TX
National Provider Identifier
1104166370
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
124648 Issued in IA
Practice address
3627 Quiet Meadow CT
Manvel, TX 77578-4849
Phone
(904) 542-4677
NPI assigned
Feb 25, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 124648 IA Primary

Addresses

Primary practice location

3627 Quiet Meadow CT
Manvel, TX 77578-4849

Mailing address

3627 Quiet Meadow CT
Manvel, TX 77578-4849

Other names 1

  • Caitlin Ann Skelley Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, IA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190831000101 AL Practitioner - Physician Assistant 0446589360 Reassigns benefits to 2 organizations
I20240423001497 IA Practitioner - Physician Assistant 0446589360 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Baylor College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesis Health SystemGroup PAC ID 6103829338, 262 clinicians

Practice addresses (Care Compare)

4334 E 53Rd St
Mercyone Genesis
Davenport, IA 52807-3039
Phone (563) 421-9000

Hospital & facility affiliations

  • Genesis Medical Center-Davenport Hospital, Davenport, IA, CCN 160033

Merit-based Incentive Payment System (MIPS)

Final score
80.57 of 100Reported as group
Quality
71.8
Improvement activities
40
Cost
80.85

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1503ALMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Health System CurrentSince Jan 10, 2026 Accepting new patients
Vituity-Iowa PLLC CurrentSince Apr 15, 2024 Accepting new patients
Genesis Health System CurrentSince Jan 10, 2026 Accepting new patients
Greater Mobile Urgent Care Past Accepting new patients
Genesis Health System Past Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

865 Lincoln Rd
Ste 100
Bettendorf, IA 52722
Phone (563) 355-1000

4334 E 53rd St
Davenport, IA 52807
Phone (563) 322-8877

4700 E 56th St
Ste 100
Davenport, IA 52807
Phone (563) 383-2667

1227 E Rusholme St
Davenport, IA 52803
Phone (563) 324-8160

Organizations & group practices 7

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": "1361750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1104166370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3627 QUIET MEADOW CT",
            "city": "MANVEL",
            "state": "TX",
            "postal_code": "775784849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3627 QUIET MEADOW CT",
            "city": "MANVEL",
            "state": "TX",
            "postal_code": "775784849",
            "telephone_number": "904-542-4677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOOVER",
        "first_name": "CAITLIN",
        "middle_name": "SKELLEY",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-25",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "124648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAITLIN",
            "last_name": "SKELLEY",
            "middle_name": "ANN",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Manvel, TX

Sources for this page

Verify at the official NPI Registry.