Individual provider Active NPI

Adam Skidmore, NP

  • Critical Care Medicine Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1104487669
Registry record updated Sep 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine Nurse PractitionerTaxonomy code 363LC0200X
License
AP142274 Issued in TX
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

Updated by the provider on Sep 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 67 clinicians

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 Hospital, MC Kinney, TX, CCN 670082

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pulmonary Critical Care Professionals CurrentSince Jan 27, 2024 Accepting new patients
Star MD of Arlington PLLC CurrentSince Dec 2, 2023 Accepting new patients
Cogent Healthcare of Texas, PA CurrentSince Aug 6, 2023 Accepting new patients
Ies Hospitalists PLLC CurrentSince Jul 24, 2024 Accepting new patients
Texas Health Physicians Group Current Accepting new patients
Questcare Pulmonary in-Patient Services PLLC CurrentSince Feb 2, 2025 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

  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.