Reagan T. Skinner, MSN, ANP, ACNP-BC

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

117618 Issued in AK

Practice address

510 W Tudor Rd
Suite 5
Anchorage, AK 99503-6649

Phone

(907) 743-0050

Fax

(907) 743-0060

NPI assigned

Mar 22, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Alaska Native Tribal Health Consortium

  • General Acute Care Hospital
  • Anchorage, AK
  • NPI 1437189339

  TX

  Medicare reassignment NPD
• Anchorage Sleep Center, LLC

  • Sleep Disorder Diagnostic Clinic/Center
  • Anchorage, AK
  • NPI 1609182849
  NPD
• Walla Walla General Hospital

  • Multi-Specialty Clinic/Center
  • Prosser, WA
  • NPI 1376894048
  NPD (past)
• Wwu Campus Health & Wellness

  • Student Health Clinic/Center
  • College Place, WA
  • NPI 1629048848
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1363910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482192000000",
    "number": "1487996906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 W TUDOR RD",
            "address_2": "SUITE 5",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995036649",
            "telephone_number": "907-743-0050",
            "fax_number": "907-743-0060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 W TUDOR RD",
            "address_2": "SUITE 5",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995036649",
            "telephone_number": "907-743-0050",
            "fax_number": "907-743-0060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKINNER",
        "first_name": "REAGAN",
        "middle_name": "T.",
        "credential": "MSN, ANP, ACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-22",
        "last_updated": "2016-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AK",
            "license": "117618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deniece L Skattebo
• Heather Skelton-Frye, LPC
• Megan Taylor Skelton, M.S. CCC-SLP
• Alisha Alexandra Skinner, M.D.
• Kendall B Skinner, DMD
• Steven Lee Skjegstad, DC
• Samantha Skold, PA
• Alan E Skolnick, M.D.
• Skot Caring LLC
• Sky Ridge LLC

• Acute Care Nurse Practitioner in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Acute Care Nurse Practitioner in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.