Individual provider Active NPI

Austin Paul Skelton, FNP

  • Family Nurse Practitioner
  • Veneta, OR
National Provider Identifier
1164837134
Registry record updated Mar 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
201608332NP-PP Issued in OR
Practice address
87983 Territorial Rd
Veneta, OR 97487-8775
Phone
(541) 935-2200
Fax
(541) 935-6241
NPI assigned
Jun 27, 2014
Last updated
Mar 3, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 201608332NP-PP OR Primary
Administrator Registered Nurse 163WA2000X R041133 SD

Addresses

Primary practice location

87983 Territorial Rd
Veneta, OR 97487-8775

Mailing address

87983 Territorial Rd
Veneta, OR 97487-8775
Phone (541) 935-2200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20230714001517 DC Practitioner - Nurse Practitioner 6608150446

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R041133SDMDAdministrator Registered Nurse
201608332NP-PPORMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Melioration Assurance LLC Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1403827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488499200000",
    "number": "1164837134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87983 TERRITORIAL RD",
            "city": "VENETA",
            "state": "OR",
            "postal_code": "974878775",
            "telephone_number": "541-935-2200",
            "fax_number": "541-935-6241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87983 TERRITORIAL RD",
            "city": "VENETA",
            "state": "OR",
            "postal_code": "974878775",
            "telephone_number": "541-935-2200",
            "fax_number": "541-935-6241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKELTON",
        "first_name": "AUSTIN",
        "middle_name": "PAUL",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-27",
        "last_updated": "2017-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201608332NP-PP",
            "primary": true
        },
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "SD",
            "license": "R041133",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Veneta, OR

Sources for this page

Verify at the official NPI Registry.