Individual provider Active NPI

Nathan William Skelley, M.D.

  • Orthopaedic Surgery Physician
  • Sioux Falls, SD
National Provider Identifier
1316230667
Registry record updated Nov 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
11792 Issued in SD
Practice address
1210 W 18TH St Ste G01
Sioux Falls, SD 57104-4651
Phone
(605) 328-2663
NPI assigned
May 19, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 11792 SD Primary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 2017006766 MO

Addresses

Primary practice location

1210 W 18TH St Ste G01
Sioux Falls, SD 57104-4651

Mailing address

PO Box 5074
Sioux Falls, SD 57117-5074

Other practice location 1

660 S Euclid Ave
Washington University Orthopaedic Surgery
Saint Louis, MO 63110-1010
Phone (314) 747-2835

Other practice location 2

1100 Virginia Ave
Columbia, MO 65212-0001
Phone (573) 882-2663

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
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
I20200327003098 SD Practitioner - Sports MedicinePractitioner - Orthopedic Surgery 9234368572 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Sports MedicineAlso: Orthopedic Surgery
Education
Johns Hopkins University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sanford Medical CenterGroup PAC ID 8325950215, 847 clinicians

Practice addresses (Care Compare)

1210 W 18TH St
Suite G01
Sioux Falls, SD 57104-4651
Phone (605) 328-2663

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.78 of 100Reported as group
Quality
78.77
Promoting interoperability
100
Improvement activities
40
Cost
70.49

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11792SDMDOrthopaedic Surgery Physician
2017006766MOMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Medical Center Orthopaedic Surgery CurrentSince Mar 9, 2020 Accepting new patients
Sanford Health Network Current Accepting new patients
Sanford Clinic Current Accepting new patients
Sanford Clinic CurrentSince Mar 9, 2020 Accepting new patients
Sanford Health Network CurrentSince Sep 13, 2021 Accepting new patients
Sanford Health Network Current Accepting new patients
Sanford Clinic Orthopaedic Surgery CurrentSince Mar 9, 2020 Accepting new patients
Sanford Clinic Past Accepting new patients

Locations

4405 E 26th St
Sioux Falls, SD 57103
Phone (605) 328-9000

1210 W 18th St
Ste G01
Sioux Falls, SD 57104
Phone (605) 328-1395

20 S Plum St
Vermillion, SD 57069
Phone (605) 624-2611

Organizations & group practices 8

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 3

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": "1305763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637539200000",
    "number": "1316230667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5074",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571175074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 W 18TH ST STE G01",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571044651",
            "telephone_number": "605-328-2663"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "660 S Euclid Ave",
            "address_2": "Washington University Orthopaedic Surgery",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631101010",
            "country_code": "US",
            "telephone_number": "314-747-2835",
            "fax_number": "314-747-2848",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 Virginia Ave",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MO",
            "postal_code": "652120001",
            "country_code": "US",
            "telephone_number": "573-882-2663",
            "fax_number": "573-882-1760",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SKELLEY",
        "first_name": "NATHAN",
        "middle_name": "WILLIAM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-19",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "SD",
            "license": "11792",
            "primary": true
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "MO",
            "license": "2017006766",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.