Angela K Skinner, FNP
Individual provider Active NPI Family Nurse Practitioner · Philadelphia, MS
NPI 1225220239 · NPPES record last updated Aug 28, 2012
Key facts
- NPI
- 1225220239
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- R757852 (MS)
- Practice address
- 921 W Beacon St
Philadelphia, MS 39350-3229 - Phone
- (601) 656-6116
- Fax
- (601) 656-5445
- NPI assigned
- Aug 14, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 24
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Laird Hospital, Inc.
Practice addresses (Care Compare)
24345 Hwy 15
Union, MS 39365-8575
Phone (601) 774-8211
Hospital & facility affiliations
- Ochsner Laird Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.17 of 100
- Quality
- 86.99
- Improvement activities
- 40
- Cost
- 66.19
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071029000026 | MS | Practitioner - Nurse Practitioner | 7911094636 | Reassigns benefits to 9 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R757852 | MS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Foundation, Inc. | Current |
Accepting new patients | |
| Rush Medical Foundation | Current | Accepting new patients | |
| Laird Hospital, Inc. | Current |
Accepting new patients | |
| Laird Hospital, Inc. | Current | Accepting new patients | |
| Scott Regional Medical Center, Inc. | Family | Current |
Accepting new patients |
| Kemper Cah, Inc. | Current | Accepting new patients | |
| Kemper Cah, Inc | Current |
Accepting new patients | |
| Scott Regional Medical Center, Inc. | Family | Current |
Accepting new patients |
| Rush Medical Foundation | Current |
Accepting new patients | |
| Scott Regional Medical Center, Inc | Family | Current | Accepting new patients |
| Kemper Cah, Inc. | Current |
Accepting new patients | |
| Laird Hospital, Inc. | Family | Current |
Accepting new patients |
| Medical Foundation, Inc. | Current |
Accepting new patients | |
| Rush Medical Foundation | Current |
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
1106 Central Dr
Philadelphia, MS 39350
Phone (601) 650-9664
1056 Holland Ave
Philadelphia, MS 39350
Phone (601) 656-1465
605 S Archusa Ave
Quitman, MS 39355
Phone (601) 776-6925
603 S Archusa Ave
Quitman, MS 39355
Phone (601) 776-2123
24345 Highway 15
Union, MS 39365
Phone (601) 774-8211
25117 Highway 15
Union, MS 39365
Phone (601) 774-8214
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R757852 | MS | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01521000 | Medicaid | MS |
Other providers in Philadelphia, MS
- Shouted Silence Services, LLC
- Carrie Shrock-Haggard
- Michael B. Shrock
- Laura Hope Sims
- Laura Sistrunk
- Bobby Smith II
- Meghin Smith
- Tremmia Smith
- Southern Pharmaceutical Corporation
- Anna Fulton Spence
All providers in Philadelphia, MS · Family Nurse Practitioner in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 28, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.