Individual provider Active NPI

David Wesley Skillin

  • Family Nurse Practitioner
  • Chico, CA
National Provider Identifier
1699504480
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95030491 Issued in CA
Practice address
114 Mission Ranch Blvd Ste 10
Chico, CA 95926-5137
Phone
(530) 894-0500
NPI assigned
Jul 30, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95030491 CA Primary

Addresses

Primary practice location

114 Mission Ranch Blvd Ste 10
Chico, CA 95926-5137

Mailing address

114 Mission Ranch Blvd Ste 10
Chico, CA 95926-5137
Phone (530) 894-0500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20240918004883 CA Practitioner - Nurse Practitioner 6406397306 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mission Ranch Primary Care IncGroup PAC ID 4688956634, 11 clinicians

Practice addresses (Care Compare)

114 Mission Ranch Blvd
Suite 10
Chico, CA 95926-5137
Phone (530) 894-0500

Hospital & facility affiliations

  • Butte Home Health and Hospice Home health agency, Chico, CA, CCN 057679
  • Valley View Healthcare Services LLC Home health agency, Chico, CA, CCN 559751
  • Freedom Home Health and Hospice Care Services, Inc Home health agency, Marysville, CA, CCN 059685
  • Oroville Hospital Hospital, Oroville, CA, CCN 050030
  • Enloe Health Hospital, Chico, CA, CCN 050039
  • Seneca District Hospital Hospital, Chester, CA, CCN 051327

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95030491CAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Mission Ranch Primary Care Inc CurrentSince Sep 5, 2024 Accepting new patients
Enloe Medical Center Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BBDAAA

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.

Hospital & facility affiliations 7

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": "1722297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1699504480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 MISSION RANCH BLVD STE 10",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959265137",
            "telephone_number": "530-894-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 MISSION RANCH BLVD STE 10",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959265137",
            "telephone_number": "530-894-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKILLIN",
        "first_name": "DAVID",
        "middle_name": "WESLEY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-30",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95030491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chico, CA

Sources for this page

Verify at the official NPI Registry.