Active NPI
Adam Skidmore, NP
- Critical Care Medicine Nurse Practitioner
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine Nurse Practitioner
- License
- AP142274
- Practice address
- 9440 Poppy Dr
Dallas, TX 75218-3652 - Phone
- (214) 324-6100
- NPI assigned
- Jun 25, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine Nurse Practitioner | 363LC0200X | AP142274 | TX | Primary |
Addresses
Primary practice location
9440 Poppy Dr
Dallas, TX 75218-3652
Mailing address
2745 Indian Oak Dr
McKinney, TX 75071-8244
Phone (469) 430-3804
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191219001402 | TX | Practitioner - Nurse Practitioner | 2769816081 | Reassigns benefits to 7 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Questcare Intensivists PLLC
Practice addresses (Care Compare)
5252 W University Dr
McKinney, TX 75071-7822
Phone (954) 939-5000
713 E Anderson St
Weatherford, TX 76086-5705
Phone (954) 939-5000
Hospital & facility affiliations
- Baylor Scott and White Medical Center McKinney
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pulmonary Critical Care Professionals | Current | Accepting new patients | |
| Star MD of Arlington PLLC | Current | Accepting new patients | |
| Cogent Healthcare of Texas, PA | Current | Accepting new patients | |
| Ies Hospitalists PLLC | Current | Accepting new patients | |
| Texas Health Physicians Group | Current | Accepting new patients | |
| Questcare Pulmonary in-Patient Services PLLC | Current | Accepting new patients |
Locations
3301 Matlock Rd
Arlington, TX 76015
Phone (682) 509-6200
600 Elizabeth St
Corpus Christi, TX 78404
Phone (361) 325-2511
8200 Walnut Hill Ln
Dallas, TX 75231
Phone (214) 345-6148
9330 Poppy Dr
Ste 300
Dallas, TX 75218
Phone (214) 324-2471
7777 Forest Ln
Dallas, TX 75230
Phone (972) 566-7283
9440 Poppy Dr
Dallas, TX 75218
Phone (214) 324-6100
100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555
5268 W University Dr
McKinney, TX 75071
Phone (469) 764-3400
5252 W University Dr
McKinney, TX 75071
Phone (469) 764-1000
3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115
401 W Campbell Rd
Richardson, TX 75080
Phone (940) 384-3535
2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000
713 E Anderson St
Weatherford, TX 76086
Phone (682) 582-1000
Interoperability endpoints
- askidmore1534211@direct.texashealth.org
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 and National Provider Directory roles.
-
- Pulmonary Disease Physician
- Grapevine, TX
- NPI 1629553375
TX
-
- Emergency Medical Services (Emergency Medicine) Physician
- Dallas, TX
- NPI 1124894308
TX
-
- Sleep Disorder Diagnostic Clinic/Center
- Fort Worth, TX
- NPI 1114395969
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- McKinney, TX
- NPI 1124305065
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694908800000",
"number": "1104487669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2745 INDIAN OAK DR",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750718244",
"telephone_number": "469-430-3804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9440 POPPY DR",
"city": "DALLAS",
"state": "TX",
"postal_code": "752183652",
"telephone_number": "214-324-6100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKIDMORE",
"first_name": "ADAM",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-06-25",
"last_updated": "2023-09-17",
"certification_date": "2023-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LC0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Critical Care Medicine",
"state": "TX",
"license": "AP142274",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2023; 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.