NPIMap

Individual provider Active NPI

Lisa M Skinner, M.D.

  • Gynecology Physician
  • Madison, WV
National Provider Identifier
1720042518
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
18105 Issued in WV
Practice address
660A S Main St
Madison, WV 25130-1245
Phone
(304) 369-1230
Fax
(304) 606-6135
NPI assigned
Apr 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 18105 WV Primary

Addresses

Primary practice location

660A S Main St
Madison, WV 25130-1245

Mailing address

701 Madison Ave
Madison, WV 25130-1699
Phone (304) 369-1230

Other names 1

  • Lisa M. Breeding Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040324000790 WV Practitioner - Obstetrics/Gynecology 6406747765 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
West Virginia University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Boone Memorial Hospital IncGroup PAC ID 3375433352, shared by 8 NPIs, 78 clinicians

Practice addresses (Care Compare)

697 Madison Ave
Madison, WV 25130
Phone (304) 369-1230

701 Madison Ave
Madison, WV 25130-1669
Phone (304) 369-1230

701 Madison Ave
Madison, WV 25130-1699

716 Madison Ave
Madison, WV 25130-1624
Phone (304) 369-1230

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.15 of 100Reported as apm
Quality
47.14
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Boone Memorial Hospital, Inc CurrentSince Apr 3, 2025 Accepting new patients
Boone Memorial Hospital, Inc CurrentSince Apr 3, 2025 Accepting new patients
Charleston Surgical Hospital Healthcare Group, PLLC CurrentSince Oct 1, 2021 Accepting new patients
Appalachian Regional Healthcare, Inc CurrentSince Jun 12, 2023 Accepting new patients
Boone Memorial Hospital, Inc Current Accepting new patients
Appalachian Regional Healthcare, Inc CurrentSince Jun 12, 2023 Accepting new patients
Boone Memorial Hospital, Inc Current Accepting new patients
Womencare, Inc Past Accepting new patients
Charleston Area Medical Center Inc Past Accepting new patients
Boone Memorial Hospital, Inc Past Accepting new patients

Locations

1828 Harper Rd
Beckley, WV 25801
Phone (304) 253-4004

250 Stanaford Rd
Beckley, WV 25801
Phone (304) 252-7331

1256 N Eisenhower Dr
Ste 300
Beckley, WV 25801
Phone (304) 254-2446

1256 N Eisenhower Dr
Beckley, WV 25801
Phone (304) 254-2415

1306 Kanawha Blvd E
Charleston, WV 25301
Phone (304) 343-4371

9 Courtney Dr
Charleston, WV 25304
Phone (304) 925-3115

660 S Main St
#A
Madison, WV 25130
Phone (304) 369-1230

701 Madison Ave
Madison, WV 25130
Phone (304) 369-1230

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746576000000",
    "number": "1720042518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 MADISON AVE",
            "city": "MADISON",
            "state": "WV",
            "postal_code": "251301699",
            "telephone_number": "304-369-1230",
            "fax_number": "304-369-6036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660A S MAIN ST",
            "city": "MADISON",
            "state": "WV",
            "postal_code": "251301245",
            "telephone_number": "304-369-1230",
            "fax_number": "304-606-6135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKINNER",
        "first_name": "LISA",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-17",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "WV",
            "license": "18105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "BREEDING",
            "middle_name": "M.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Madison, WV

Sources for this page

Verify at the official NPI Registry.