Active NPI
Molly Beth Skomer, APRN
- Nurse Practitioner
- Lincoln, NE
National Provider Identifier
1598286403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 112248
- 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.
-
- Medicare Defined Swing Bed Hospital Unit
- Syracuse, NE
- NPI 1497764559
-
- Rural Health Clinic/Center
- Syracuse, NE
- NPI 1699784751
-
- Community/Retail Pharmacy
- Weeping Water, NE
- NPI 1730756255
-
- Rural Health Clinic/Center
- Weeping Water, NE
- NPI 1952551327
-
- Family Medicine Physician
- Hickman, NE
- NPI 1134097900
-
- Family Medicine Physician
- Lincoln, NE
- NPI 1023823150
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
Practice addresses (Care Compare)
2731 Healthcare Dr
Syracuse, NE 68446-7880
Phone (402) 269-2011
Hospital & facility affiliations
- Syracuse Area Health
- CHI Health St Mary'S
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 112248 | NE | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Memorial Hospital District | Current | Accepting new patients | |
| Community Memorial Hospital District | Current | Accepting new patients | |
| Community Memorial Hospital District | Current | 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 112248 | NE | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10025716000 | Medicaid | NE |
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2017; 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.