Active NPI
Alli Elizabeth Anne Skeehan
- Family Nurse Practitioner
- Sierra Vista, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RNP293053
- 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
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 |
|---|---|---|---|---|
| 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
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
Enrollment records 1
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
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
- Canyon Vista Medical Center
- Tucson Medical Center
- Benson Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN192953 | AZ | MD | Registered Nurse |
| RNP293053 | AZ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sierra Vista Regional Health Center Medical Group LLC | Current | Accepting new patients | |
| Sierra Vista Regional Health Center Medical Group LLC | Current | 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
- 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.
-
- Family Medicine Physician
- Sierra Vista, AZ
- NPI 1043575483
-
- Rural Health Clinic/Center
- Sierra Vista, AZ
- NPI 1962273011
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Sierra Vista, AZ
- NPI 1912291139
-
- Critical Access Hospital
- Benson, AZ
- NPI 1336118322
-
- General Acute Care Hospital
- Sierra Vista, AZ
- NPI 1194766543
-
- General Acute Care Hospital
- Tucson, AZ
- NPI 1174512792
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; 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.