Active NPI
Laura Ann Skidmore, CNP
- Hospitalist Physician
- Dayton, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- APRNCNP020932
- Practice address
- 33 W Rahn Rd
Dayton, OH 45429-2219 - Phone
- (937) 433-8990
- Fax
- (937) 433-8691
- NPI assigned
- Aug 1, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN.CNP.020932 | OH | |
| Hospitalist Physician | 208M00000X | APRNCNP020932 | OH | Primary |
Addresses
Primary practice location
33 W Rahn Rd
Dayton, OH 45429-2219
Mailing address
33 W Rahn Rd
Dayton, OH 45429-2219
Phone (937) 433-8990
Other practice location 1
5985 Hanley Rd
Jamestown, OH 45335-8551
Phone (937) 901-1348
Other practice location 2
3165 Dayton Xenia Rd
Beavercreek, OH 45434-6309
Phone (937) 912-0500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- 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 |
|---|---|---|---|---|
| I20170818002302 | OH | Practitioner - Nurse Practitioner | 1254341282 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
721 Miami Chapel Rd
Dayton, OH 45417-4650
Phone (937) 281-6800
Hospital & facility affiliations
- Mercy Health Kings Mills Hospital LLC
- The Jewish Hospital-Mercy Health
- Springfield Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRNCNP020932 | OH | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Five Rivers Health Centers | Current | Accepting new patients | |
| Five Rivers Health Centers | Current | Accepting new patients | |
| Five Rivers Health Centers | Past | Accepting new patients |
Locations
120 W Apple St
Ste C
Dayton, OH 45402
Phone (937) 496-5613
721 Miami Chapel Rd
Dayton, OH 45417
Phone (937) 281-5970
2261 Philadelphia Dr
Dayton, OH 45406
Phone (937) 281-6800
921 S Edwin C Moses Blvd
Dayton, OH 45417
Phone (937) 461-1376
1923 W 3rd St
Ste 200
Dayton, OH 45417
1659 W 2nd St
Xenia, OH 45385
Phone (937) 281-6800
360 Wilson Dr
Xenia, OH 45385
Phone (937) 208-3535
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.
-
- Family Medicine Physician
- Xenia, OH
- NPI 1083501415
-
- Pediatrics Physician
- Xenia, OH
- NPI 1629546221
-
- Family Medicine Physician
- Dayton, OH
- NPI 1053600775
Hospital & facility affiliations 4
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": "1501545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1689198566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 W RAHN RD",
"city": "DAYTON",
"state": "OH",
"postal_code": "454292219",
"telephone_number": "937-433-8990",
"fax_number": "937-433-8691"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 W RAHN RD",
"city": "DAYTON",
"state": "OH",
"postal_code": "454292219",
"telephone_number": "937-433-8990",
"fax_number": "937-433-8691"
}
],
"practiceLocations": [
{
"address_1": "5985 Hanley Rd",
"address_purpose": "LOCATION",
"city": "Jamestown",
"state": "OH",
"postal_code": "453358551",
"country_code": "US",
"telephone_number": "937-901-1348",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3165 Dayton Xenia Rd",
"address_purpose": "LOCATION",
"city": "Beavercreek",
"state": "OH",
"postal_code": "454346309",
"country_code": "US",
"telephone_number": "937-912-0500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SKIDMORE",
"first_name": "LAURA",
"middle_name": "ANN",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-01",
"last_updated": "2022-07-21",
"certification_date": "2020-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "APRN.CNP.020932",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "OH",
"license": "APRNCNP020932",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.