Erin Skelly, DO

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

5151015785 Issued in MI

Practice address

1322 E Michigan Ave
Lansing, MI 48912-2199

Phone

(517) 364-2157

Fax

(517) 364-3004

NPI assigned

Jun 27, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Interoperability endpoints

• Direct secure messaging: erin.skelly.p1@direct.ichd.nextgenshare.com
• Direct secure messaging: eskelly541259@direct-ehr-ssmhc.com

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

{
    "created_epoch": "1656288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656288000000",
    "number": "1104558352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1322 E MICHIGAN AVE",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489122199",
            "telephone_number": "517-364-3004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1322 E MICHIGAN AVE",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489122199",
            "telephone_number": "517-364-2157",
            "fax_number": "517-364-3004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKELLY",
        "first_name": "ERIN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-27",
        "last_updated": "2022-06-27",
        "certification_date": "2022-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "5151015785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kryn L Sisco, PMHNP-BC, MPA,BSN RN
• Margaret A Sitterson
• Shaveena Sivapalan, DO
• Shannon Rae Sivyer, BCBA
• Madison Sjolund
• Serena Skief
• Errin Skinner, CSW
• Michael Skinner
• Tracy Skinner, BAS
• Vantisha Telisia Skipwith

• Pediatrics Physician in Lansing, MI
• Providers in Lansing, MI by specialty
• Pediatrics Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.