Mark Bradley Skinner, CNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

COA.15326.NP Issued in OH

Practice address

824 Bowtown Rd
Delaware, OH 43015-9661

Phone

(740) 369-7688

Fax

(740) 363-4814

NPI assigned

Oct 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Central Ohio Counseling Inc.Group PAC ID 1052203445, 14 clinicians

Thrive Counseling LLCGroup PAC ID 0749458420, 1,187 clinicians

Keystone Mental Health, IncGroup PAC ID 9234417379, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Central Ohio Counseling Inc.

  • Clinical Social Worker
  • Worthington, OH
  • NPI 1922031988
  Medicare reassignment Care Compare group NPD
• Thrive Counseling LLC

  • Mental Health Counselor
  • Lynchburg, VA
  • NPI 1215181300

  OH

  Medicare reassignment Care Compare group NPD
• Keystone Mental Health, Inc.

  • Psychiatry Physician
  • Dublin, OH
  • NPI 1538618715
  Medicare reassignment Care Compare group NPD (past)
• Dublin Springs Physician Group, LLC

  • Psychiatry Physician
  • Dublin, OH
  • NPI 1831501584

  Psychiatric/Mental Health

  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384473600000",
    "number": "1699860809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "824 BOWTOWN RD",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430159661",
            "telephone_number": "740-369-7688",
            "fax_number": "740-363-4814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "824 BOWTOWN RD",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430159661",
            "telephone_number": "740-369-7688",
            "fax_number": "740-363-4814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKINNER",
        "first_name": "MARK",
        "middle_name": "BRADLEY",
        "name_prefix": "Mr.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2013-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I10219",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "COA.15326.NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Simon
• Paul Simon
• Renee Simon
• Cynthia D Sinclair, RN
• Samar B Singh, DO
• Angela M Slater, PHARMD
• Dauntea Sledge
• Jessica Nicole Smallenbarger, FNP-C
• Amanda Smith
• Anna Louise Smith

• Psychiatric/Mental Health Nurse Practitioner in Delaware, OH
• Providers in Delaware, OH by specialty
• Psychiatric/Mental Health Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2013; 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.

Verify at the official NPI Registry.