NPIMap

Individual provider Active NPI

Alta M. Skelton, N.P.

  • Nurse Practitioner
  • Carmel, IN
National Provider Identifier
1457456659
Registry record updated Jul 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71001461A Issued in IN
Practice address
755 W Carmel Dr
Suite 150
Carmel, IN 46032-5877
Phone
(317) 810-1399
Fax
(317) 810-1391
NPI assigned
Sep 13, 2006
Last updated
Jul 26, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 71001461A IN Primary
Registered Nurse 163W00000X 28119508A IN
Family Medicine Physician 207Q00000X 71001461 IN

Addresses

Primary practice location

755 W Carmel Dr
Suite 150
Carmel, IN 46032-5877

Mailing address

755 W Carmel Dr
Suite 150
Carmel, IN 46032-5877
Phone (317) 810-1399

Other identifiers 3

IdentifierTypeStateIssuer
366735000OtherINUS DEPT. OF LABOR
000000298150OtherINANTHEM PROVIDER NUMBER
000000298150OtherINUNICARE PROVIDER NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100923000519 IN Practitioner - Nurse Practitioner 5395861751 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Fully Armored Family Health and Fitness LLCGroup PAC ID 0749400596, 3 clinicians

Practice addresses (Care Compare)

755 W Carmel Dr
Suite 150
Carmel, IN 46032-5878
Phone (317) 667-3165

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
71001461INMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fully Armored Family Health and Fitness LLC Nurse Practitioner CurrentSince Jul 18, 2014 Accepting new patients
Major Hospital Past Accepting new patients

Locations

755 W Carmel Dr
Ste 150
Carmel, IN 46032
Phone (317) 667-3165

Interoperability endpoints

  • Direct secure messaging: alta.skelton.1@9441.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/9441/brand/1/csg/1/fhir/r4

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.

Hospital & facility affiliations 7

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": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690329600000",
    "number": "1457456659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 W CARMEL DR",
            "address_2": "SUITE 150",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460325877",
            "telephone_number": "317-810-1399",
            "fax_number": "317-810-1391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 W CARMEL DR",
            "address_2": "SUITE 150",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460325877",
            "telephone_number": "317-810-1399",
            "fax_number": "317-810-1391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKELTON",
        "first_name": "ALTA",
        "middle_name": "M.",
        "name_prefix": "Mrs.",
        "credential": "N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-13",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71001461A",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28119508A",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "71001461",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT. OF LABOR",
            "identifier": "366735000",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER NUMBER",
            "identifier": "000000298150",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNICARE PROVIDER NUMBER",
            "identifier": "000000298150",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

Verify at the official NPI Registry.