Active NPI
Ryan Hunter Skidmore, FNP-C
- Family Nurse Practitioner
- Charleston, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 111629
- Practice address
- 3100 Maccorkle Ave SE Ste 700
Charleston, WV 25304-1230 - Phone
- (304) 351-1600
- Fax
- (304) 351-1664
- NPI assigned
- Oct 24, 2024
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 111629 | WV | Primary |
Addresses
Primary practice location
3100 Maccorkle Ave SE Ste 700
Charleston, WV 25304-1230
Mailing address
3100 Maccorkle Ave SE
Suite 700
Charleston, WV 25304-1230
Phone (304) 351-1600
Other practice location 1
1306 Kanawha Blvd E
Charleston, WV 25301-3001
Phone (304) 343-4371
Other practice location 2
1400 Hospital Dr
Hurricane, WV 25526-9202
Phone (304) 757-1700
Other practice location 3
3200 MacCorkle Ave SE
Charleston, WV 25304-1227
Phone (304) 388-5432
Other practice location 4
800 Pennsylvania Ave
Charleston, WV 25302-3351
Phone (304) 388-4432
Other practice location 5
501 Morris St
Charleston, WV 25301-1326
Phone (304) 388-5432
Other practice location 6
1220 Lee Street, E
Charleston, WV 25301
Phone (304) 388-1800
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ryan.skidmore@vandaliahealth.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3100 Maccorkle Ave SE
Suite 700a
Charleston, WV 25304-1223
Phone (304) 351-1500
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 111629 | WV | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charleston Area Medical Center, Inc. | Current | Accepting new patients | |
| Charleston Area Medical Center Inc | Current | Accepting new patients |
Locations
3100 Maccorkle Ave SE
Ste 700
Charleston, WV 25304
Phone (304) 351-1500
501 Morris St
Charleston, WV 25301
Phone (304) 348-6293
1306 Kanawha Blvd E
Charleston, WV 25301
Phone (304) 343-4371
800 Pennsylvania Ave
Charleston, WV 25302
Phone (304) 388-2550
3200 Maccorkle Ave SE
Charleston, WV 25304
Phone (304) 388-2550
1400 Hospital Dr
Hurricane, WV 25526
Phone (304) 757-1700
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 and National Provider Directory roles.
-
- General Acute Care Hospital
- Charleston, WV
- NPI 1124248752
-
- Multi-Specialty Clinic/Center
- Belpre, OH
- NPI 1588422547
Hospital & facility affiliations 11
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Charleston, WV
- NPI 1265421226
-
- General Acute Care Hospital
- Beckley, WV
- NPI 1427904002
-
- General Acute Care Hospital
- Beckley, WV
- NPI 1508712118
-
- Rehabilitation Hospital Unit
- Charleston, WV
- NPI 1639168693
-
- General Acute Care Hospital
- Beckley, WV
- NPI 1689520264
-
- General Acute Care Hospital
- Fayetteville, WV
- NPI 1932055589
-
- General Acute Care Hospital
- Charleston, WV
- NPI 1952390239
-
- General Acute Care Hospital
- Charleston, WV
- NPI 1124248752
-
dba CAMC Pharmacy #3
- Community/Retail Pharmacy
- Charleston, WV
- NPI 1134518186
Hospital
-
dba CAMC GVMC Physician Department
- Hospitalist Physician
- Ronceverte, WV
- NPI 1972125995
-
- General Acute Care Hospital
- Fayetteville, WV
- NPI 1174479513
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758067200000",
"number": "1568284206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3100 MACCORKLE AVE SE",
"address_2": "SUITE 700",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253041230",
"telephone_number": "304-351-1600",
"fax_number": "304-351-1664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 MACCORKLE AVE SE STE 700",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253041230",
"telephone_number": "304-351-1600",
"fax_number": "304-351-1664"
}
],
"practiceLocations": [
{
"address_1": "1306 Kanawha Blvd E",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "WV",
"postal_code": "253013001",
"country_code": "US",
"telephone_number": "304-343-4371",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1400 Hospital Dr",
"address_purpose": "LOCATION",
"city": "Hurricane",
"state": "WV",
"postal_code": "255269202",
"country_code": "US",
"telephone_number": "304-757-1700",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3200 MacCorkle Ave SE",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "WV",
"postal_code": "253041227",
"country_code": "US",
"telephone_number": "304-388-5432",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "800 Pennsylvania Ave",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "WV",
"postal_code": "253023351",
"country_code": "US",
"telephone_number": "304-388-4432",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "501 Morris St",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "WV",
"postal_code": "253011326",
"country_code": "US",
"telephone_number": "304-388-5432",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1220 Lee Street, E",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "WV",
"postal_code": "25301",
"country_code": "US",
"telephone_number": "304-388-1800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SKIDMORE",
"first_name": "RYAN",
"middle_name": "HUNTER",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-10-24",
"last_updated": "2025-09-17",
"certification_date": "2025-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WV",
"license": "111629",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ryan.skidmore@vandaliahealth.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "3100 MacCorkle Ave SE Ste 700",
"city": "Charleston",
"state": "WV",
"country_code": "US",
"postal_code": "253041230",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Charleston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2025; 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.
- 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.