Michael S Skaggs, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

2022151791 Issued in WV

Practice address

600 Church St S Ste 3
Ripley, WV 25271-1666

Phone

(304) 786-1222

Fax

(304) 786-1236

NPI assigned

Feb 11, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WV

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, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Premiere Mental Health and Behavioral Medicine LLCGroup PAC ID 4486185113, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

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.

• Premiere Mental Health & Behavioral Medicine LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Ripley, WV
  • NPI 1073354395
  Medicare reassignment Care Compare group NPD Authorized official
• Psycare Inc

  • Psychiatry Physician
  • South Charleston, WV
  • NPI 1144433459

  Psychiatric/Mental Health

  NPD (past)

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

{
    "created_epoch": "1581379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734912000000",
    "number": "1861024507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 CHURCH ST S STE 3",
            "city": "RIPLEY",
            "state": "WV",
            "postal_code": "252711666",
            "telephone_number": "304-784-1962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 CHURCH ST S STE 3",
            "city": "RIPLEY",
            "state": "WV",
            "postal_code": "252711666",
            "telephone_number": "304-786-1222",
            "fax_number": "304-786-1236"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1412 1/2 Blizzard Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Parkersburg",
            "state": "WV",
            "postal_code": "261016423",
            "country_code": "US",
            "telephone_number": "304-786-1222",
            "fax_number": "304-786-1236",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SKAGGS",
        "first_name": "MICHAEL",
        "middle_name": "S",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-11",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WV",
            "license": "2022151791",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "004369176",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1861024507",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lucy Kara Shamblin, D.O.
• Ashleigh Sharp, LGSW
• Michael Shawley
• John Simmerman
• Jennifer C. Simon, CFNP
• Alexis Marie Smith
• Cayla Smith
• Cierra Smith, LPN
• Ernestine Smith
• Randy Brooks Smith, DDS

• Psychiatric/Mental Health Nurse Practitioner in Ripley, WV
• Providers in Ripley, WV by specialty
• Psychiatric/Mental Health Nurse Practitioner in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; 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.