Individual provider Active NPI

William E. Skibicki, AGPCNP-C

  • Gerontology Nurse Practitioner
  • Hanover, PA
National Provider Identifier
1437820461
Registry record updated Sep 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
SP023836 Issued in PA
Practice address
168 Joshua Dr
Hanover, PA 17331-7400
Phone
(302) 264-1839
NPI assigned
Sep 21, 2021
Last updated
Sep 21, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X SP023836 PA Primary

Addresses

Primary practice location

168 Joshua Dr
Hanover, PA 17331-7400

Mailing address

168 Joshua Dr
Hanover, PA 17331-7400
Phone (302) 264-1839

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, DE2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220331000335 PA Practitioner - Nurse Practitioner 8921494956 Reassigns benefits to 2 organizations
I20250203002693 DE Practitioner - Nurse Practitioner 8921494956 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Trinity Medical Associates, PAGroup PAC ID 8921252941, 13 clinicians

Practice addresses (Care Compare)

410 Foulk Rd
Suite 200B
Wilmington, DE 19803-3802
Phone (302) 762-6675

5209 W Woodmill Dr
Suite 35
Wilmington, DE 19808-4068
Phone (302) 762-6675

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.57 of 100Reported as group
Quality
100
Improvement activities
40
Cost
51.89

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Medical Associates PA CurrentSince Jan 23, 2025 Accepting new patients
Creek Medical, PLLC CurrentSince Mar 1, 2022 Accepting new patients
Psychogeriatric Services LLC CurrentSince Feb 12, 2024 Accepting new patients
Trinity Emotional Resilience Services LLC Past Accepting new patients

Locations

2055 Limestone Rd
Ste 101
Wilmington, DE 19808
Phone (302) 762-6675

410 Foulk Rd
Ste 200B
Wilmington, DE 19803
Phone (302) 561-4202

5209 W Woodmill Dr
Ste 35
Wilmington, DE 19808
Phone (302) 762-6675

12073 Tech Rd
Ste B
Silver Spring, MD 20904
Phone (240) 396-5873

595 Biglerville Rd
Gettysburg, PA 17325
Phone (717) 334-6249

146 E King St
Lancaster, PA 17602
Phone (302) 990-2323

1001 S George St
Fl 5
York, PA 17403
Phone (717) 516-1290

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17876/brand/1/csg/1/fhir/r4
  • Direct secure messaging: william.skibicki.1@17876.direct.athenahealth.com

Organizations & group practices 4

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.

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": "1632182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632182400000",
    "number": "1437820461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 JOSHUA DR",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173317400",
            "telephone_number": "302-264-1839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 JOSHUA DR",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173317400",
            "telephone_number": "302-264-1839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKIBICKI",
        "first_name": "WILLIAM",
        "middle_name": "E.",
        "name_prefix": "Mr.",
        "credential": "AGPCNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-21",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "PA",
            "license": "SP023836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanover, PA

Sources for this page

Verify at the official NPI Registry.