Individual provider Active NPI

Molly Beth Skomer, APRN

  • Nurse Practitioner
  • Lincoln, NE
National Provider Identifier
1598286403
Registry record updated Dec 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
112248 Issued in NE
Practice address
1520 S 70TH St Ste 200
Lincoln, NE 68506-1566
Phone
(402) 464-9000
Fax
(402) 464-4447
NPI assigned
Jun 29, 2017
Sex
Female
Sole proprietor
No

Organizations & group practices 9

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 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Creighton University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Memorial Hospital District 25 clinicians

Practice addresses (Care Compare)

2731 Healthcare Dr
Syracuse, NE 68446-7880
Phone (402) 269-2011

Hospital & facility affiliations

  • Syracuse Area Health Hospital, Syracuse, NE, CCN 281309
  • CHI Health St Mary'S Hospital, Nebraska City, NE, CCN 281342

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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

Enrollment IDStateProvider typePAC IDDetails
I20170717000376 NE Practitioner - Nurse Practitioner 1153691647 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
112248NEMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Memorial Hospital District Current Accepting new patients
Community Memorial Hospital District CurrentSince May 1, 2020 Accepting new patients
Community Memorial Hospital District CurrentSince May 1, 2020 Accepting new patients
Community Memorial Hospital District Past Accepting new patients

Locations

2731 Healthcare Dr
Syracuse, NE 68446
Phone (402) 269-2011

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 112248 NE Primary

Addresses

NPPES NPI Registry

Primary practice location

1520 S 70TH St Ste 200
Lincoln, NE 68506-1566

Mailing address

4101 N 14TH St
Lincoln, NE 68521-1970

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
10025716000MedicaidNE

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 18, 2017.

{
    "created_epoch": "1498694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513555200000",
    "number": "1598286403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 N 14TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685211970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 S 70TH ST STE 200",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685061566",
            "telephone_number": "402-464-9000",
            "fax_number": "402-464-4447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKOMER",
        "first_name": "MOLLY",
        "middle_name": "BETH",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-29",
        "last_updated": "2017-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NE",
            "license": "112248",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025716000",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.