Active NPI
Michael Shane Skelton, M.A., CCC-A
- Audiologist-Hearing Aid Fitter
- Flagstaff, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- DA 1859
- Practice address
- 327 McConnell Cir
BLDG.66 RM 327
Flagstaff, AZ 86011-0001 - Phone
- (928) 523-8110
- NPI assigned
- May 24, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | DA 1859 | AZ | Primary |
Addresses
Primary practice location
327 McConnell Cir
BLDG.66 RM 327
Flagstaff, AZ 86011-0001
Mailing address
2641 N Fox Run Dr
Flagstaff, AZ 86004-7683
Phone (928) 526-0634
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- At Still University, Arizona School of Dentistry & Oral HLTH, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
208 E Pine Knoll Dr
Flagstaff, AZ 86011-0001
Phone (928) 523-8110
824 S San Francisco St
Flagstaff, AZ 86011-0001
Phone (928) 523-2131
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DA 1859 | AZ | MD | Audiologist-Hearing Aid Fitter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Az BD of Regents for on Behalf of Northern Az University | Current | Accepting new patients | |
| Northern Arizona University | Audiologist-Hearing Aid Fitter | Current | Accepting new patients |
Locations
208 E Pne Knl Dr
Flagstaff, AZ 86011
Phone (928) 523-5122
912 Riordan Rd
Flagstaff, AZ 86011
Phone (928) 523-1695
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Audiologist-Hearing Aid Fitter
- Flagstaff, AZ
- NPI 1912950486
-
- Primary Care Clinic/Center
- Flagstaff, AZ
- NPI 1891727863
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1285845073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2641 N FOX RUN DR",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860047683",
"telephone_number": "928-526-0634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "327 MCCONNELL CIR",
"address_2": "BLDG.66 RM 327",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860110001",
"telephone_number": "928-523-8110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKELTON",
"first_name": "MICHAEL",
"middle_name": "SHANE",
"credential": "M.A., CCC-A",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "AZ",
"license": "DA 1859",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flagstaff, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.