Individual provider Active NPI

Alli Elizabeth Anne Skeehan

  • Family Nurse Practitioner
  • Sierra Vista, AZ
National Provider Identifier
1821789223
Registry record updated Jun 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RNP293053 Issued in AZ
Practice address
5750 E Highway 90 Ste 375
Sierra Vista, AZ 85635-9114
Phone
(520) 263-3762
NPI assigned
May 16, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN192953 AZ
Family Nurse Practitioner 363LF0000X RNP293053 AZ Primary

Addresses

Primary practice location

5750 E Highway 90 Ste 375
Sierra Vista, AZ 85635-9114

Mailing address

4605 Calle Chico
Sierra Vista, AZ 85635-7157
Phone (707) 342-0831

Other names 1

  • Elizabeth Anne Skeehan Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20230628002504 AZ Practitioner - Nurse Practitioner 5991164683 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sierra Vista Regional Health Center Medical Group LLCGroup PAC ID 3779732854, 45 clinicians

Practice addresses (Care Compare)

5750 E Hwy 90
Suite 200
Sierra Vista, AZ 85635-9113
Phone (520) 263-3500

Hospital & facility affiliations

  • Bayada Home Health Care, Inc Home health agency, Sierra Vista, AZ, CCN 037416
  • Canyon Vista Medical Center Hospital, Sierra Vista, AZ, CCN 030043
  • Tucson Medical Center Hospital, Tucson, AZ, CCN 030006
  • Benson Hospital Hospital, Benson, AZ, CCN 031301

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN192953AZMDRegistered Nurse
RNP293053AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sierra Vista Regional Health Center Medical Group LLC CurrentSince Jul 1, 2023 Accepting new patients
Sierra Vista Regional Health Center Medical Group LLC CurrentSince Jan 14, 2024 Accepting new patients

Locations

210 El Camino Real
Sierra Vista, AZ 85635
Phone (520) 263-3400

5750 E Highway 90
Ste 375
Sierra Vista, AZ 85635
Phone (520) 263-3500

5750 E Highway 90
Ste 200
Sierra Vista, AZ 85635
Phone (520) 263-3500

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

Interoperability endpoints

  • Direct secure messaging: alli.skeehan.1@19231.direct.athenahealth.com

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 6

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": "1684195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687305600000",
    "number": "1821789223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4605 CALLE CHICO",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856357157",
            "telephone_number": "707-342-0831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5750 E HIGHWAY 90 STE 375",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856359114",
            "telephone_number": "520-263-3762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKEEHAN",
        "first_name": "ALLI",
        "middle_name": "ELIZABETH ANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-16",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN192953",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "RNP293053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "SKEEHAN",
            "middle_name": "ANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sierra Vista, AZ

Sources for this page

Verify at the official NPI Registry.