Individual provider Active NPI

Katherine Dollie Skaggs, D.O.

  • Family Medicine Physician
  • Branson, MO
National Provider Identifier
1629429329
Registry record updated Aug 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2019016852 Issued in MO
Practice address
1150 State Highway 248 Ste 202
Branson, MO 65616-3729
Phone
(417) 348-8964
Fax
(417) 336-0275
NPI assigned
Jun 24, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2019016852 MO Primary

Addresses

Primary practice location

1150 State Highway 248 Ste 202
Branson, MO 65616-3729

Mailing address

PO Box 802843
Kansas City, MO 64180-2208
Phone (417) 730-6430

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190819003449 MO Practitioner - Family Practice 4183918915 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Skaggs Community Hospital AssociationGroup PAC ID 5092624320, 222 clinicians

Practice addresses (Care Compare)

1601 Branson Hills Pkwy
Suite 130
Branson, MO 65616-9908
Phone (417) 348-8400

525 Branson Landing Blvd
Suite 100
Branson, MO 65616-2152
Phone (417) 348-8646

Hospital & facility affiliations

  • Atlas Home Health and Therapy, LLC Home health agency, Branson, MO, CCN 267675
  • Cox Medical Center Branson Hospital, Branson, MO, CCN 260094
  • Cox Medical Centers Hospital, Springfield, MO, CCN 260040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Skaggs Community Hospital Association Family Medicine CurrentSince Aug 1, 2019 Accepting new patients
Skaggs Community Hospital Association CurrentSince Aug 1, 2019 Accepting new patients
Lester E. Cox Medical Centers Past Accepting new patients
Skaggs Community Hospital Association Past Accepting new patients

Locations

1601 Branson Hills Pkwy
Ste 110
Branson, MO 65616
Phone (417) 348-8990

1150 State Highway 248
Ste 202
Branson, MO 65616
Phone (417) 348-8494

1601 Branson Hills Pkwy
Ste 100
Branson, MO 65616
Phone (417) 348-8964

525 Branson Landing Blvd
Ste 100
Branson, MO 65616
Phone (417) 348-8646

Organizations & group practices 4

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 5

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": "1466726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629763200000",
    "number": "1629429329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 802843",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641802208",
            "telephone_number": "417-730-6430",
            "fax_number": "417-269-7567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 STATE HIGHWAY 248 STE 202",
            "city": "BRANSON",
            "state": "MO",
            "postal_code": "656163729",
            "telephone_number": "417-348-8964",
            "fax_number": "417-336-0275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKAGGS",
        "first_name": "KATHERINE",
        "middle_name": "DOLLIE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-24",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2019016852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Branson, MO

Sources for this page

Verify at the official NPI Registry.