Individual provider Active NPI

Angela K Skinner, FNP

  • Family Nurse Practitioner
  • Philadelphia, MS
National Provider Identifier
1225220239
Registry record updated Aug 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R757852 Issued in MS
Practice address
921 W Beacon St
Philadelphia, MS 39350-3229
Phone
(601) 656-6116
Fax
(601) 656-5445
NPI assigned
Aug 14, 2007
Last updated
Aug 28, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R757852 MS Primary

Addresses

Primary practice location

921 W Beacon St
Philadelphia, MS 39350-3229

Mailing address

921 W Beacon St
Philadelphia, MS 39350-3229
Phone (601) 656-6116

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20071029000026 MS Practitioner - Nurse Practitioner 7911094636 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Laird Hospital, Inc.Group PAC ID 7214991769, shared by 9 NPIs, 30 clinicians

Practice addresses (Care Compare)

24345 Hwy 15
Union, MS 39365-8575
Phone (601) 774-8211

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.17 of 100Reported as group
Quality
86.99
Improvement activities
40
Cost
66.19

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Scott Regional Medical Center, Inc. Family CurrentSince Sep 3, 2018 Accepting new patients
Laird Hospital, Inc. Family CurrentSince Apr 1, 2018 Accepting new patients
Kemper Cah, Inc CurrentSince Mar 27, 2020 Accepting new patients
Kemper Cah, Inc. Current Accepting new patients
Laird Hospital, Inc. CurrentSince Apr 1, 2018 Accepting new patients
Rush Medical Foundation Current Accepting new patients
Medical Foundation, Inc. CurrentSince Jul 2, 2020 Accepting new patients
Scott Regional Medical Center, Inc Family Current Accepting new patients
Rush Medical Foundation CurrentSince Mar 27, 2020 Accepting new patients
Scott Regional Medical Center, Inc. Family CurrentSince Sep 3, 2018 Accepting new patients
Medical Foundation, Inc. CurrentSince Jul 2, 2020 Accepting new patients
Laird Hospital, Inc. Current Accepting new patients
Rush Medical Foundation CurrentSince Mar 27, 2020 Accepting new patients
Kemper Cah, Inc. CurrentSince Mar 27, 2020 Accepting new patients
Baptist Medical Center-Leake, Inc Past Accepting new patients
Baptist Medical Center-Leake, Inc Past Accepting new patients

Locations

9097 Collinsville Rd
Collinsville, MS 39325
Phone (601) 626-8874

14365 Highway 16 W
De Kalb, MS 39328
Phone (769) 486-1000

24489 Highway 80
Lake, MS 39092
Phone (601) 775-3264

1314 19th Ave
Meridian, MS 39301
Phone (601) 483-0011

2401 16th St
Meridian, MS 39301
Phone (601) 482-4181

317 Highway 13 S
Morton, MS 39117
Phone (601) 732-6301

1056 Holland Ave
Philadelphia, MS 39350
Phone (601) 656-1465

1106 Central Dr
Philadelphia, MS 39350
Phone (601) 656-1044

603 S Archusa Ave
Quitman, MS 39355
Phone (601) 776-2123

605 S Archusa Ave
Quitman, MS 39355
Phone (601) 776-6925

24345 Highway 15
Union, MS 39365
Phone (601) 774-8211

25117 Highway 15
Union, MS 39365
Phone (601) 774-8214

Organizations & group practices 18

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.

View all 18

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": "1187049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346112000000",
    "number": "1225220239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 W BEACON ST",
            "city": "PHILADELPHIA",
            "state": "MS",
            "postal_code": "393503229",
            "telephone_number": "601-656-6116",
            "fax_number": "601-656-5445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 W BEACON ST",
            "city": "PHILADELPHIA",
            "state": "MS",
            "postal_code": "393503229",
            "telephone_number": "601-656-6116",
            "fax_number": "601-656-5445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKINNER",
        "first_name": "ANGELA",
        "middle_name": "K",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-14",
        "last_updated": "2012-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R757852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, MS

Sources for this page

Verify at the official NPI Registry.