Individual provider Active NPI

Carly Lynn Skamra, M.D.

  • Rheumatology Physician
  • Waukesha, WI
National Provider Identifier
1275670275
Registry record updated Feb 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
60089-20 Issued in WI
Practice address
20800 Swenson Dr Ste 175
Waukesha, WI 53186-4000
Phone
(262) 785-1964
Fax
(262) 785-0610
NPI assigned
Jan 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 60089-20 WI Primary

Addresses

Primary practice location

20800 Swenson Dr Ste 175
Waukesha, WI 53186-4000

Mailing address

20800 Swenson Dr Ste 175
Waukesha, WI 53186-4000
Phone (262) 785-1964

Other identifiers 3

IdentifierTypeStateIssuer
036118437OtherILBCBS
32805700MedicaidWI
036118437MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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

Enrollment IDStateProvider typePAC IDDetails
I20130515000640 WI Practitioner - Rheumatology 6709918386 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Northwestern University Feinberg Medical School, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Suburban Ctr for ArthritisGroup PAC ID 3274678230, 6 clinicians

Practice addresses (Care Compare)

20800 Swenson Dr
Suite 175
Waukesha, WI 53186-4000
Phone (262) 785-0777

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
60089-20WIMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Suburban Ctr for Arthritis CurrentSince Dec 13, 2022 Accepting new patients

Locations

601 N Barker Rd
Ste 110
Brookfield, WI 53045
Phone (262) 785-0777

20800 Swenson Dr
Ste 175
Waukesha, WI 53186
Phone (262) 785-0777

Interoperability endpoints

  • Direct secure messaging: cskamra46344@direct.phci.org

Organizations & group practices 2

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 4

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": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769990400000",
    "number": "1275670275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20800 SWENSON DR STE 175",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531864000",
            "telephone_number": "262-785-1964",
            "fax_number": "262-785-0610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20800 SWENSON DR STE 175",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531864000",
            "telephone_number": "262-785-1964",
            "fax_number": "262-785-0610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKAMRA",
        "first_name": "CARLY",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "WI",
            "license": "60089-20",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "036118437",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32805700",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036118437",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukesha, WI

Sources for this page

Verify at the official NPI Registry.