Individual provider Active NPI

Laura E Skaggs, FNP-BC

  • Family Nurse Practitioner
  • Rural Retreat, VA
National Provider Identifier
1861604852
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
60314 Issued in WV
Practice address
445 Gienow Rd
Rural Retreat, VA 24368-3210
Phone
(276) 686-4007
Fax
(276) 686-4614
NPI assigned
May 4, 2007
Last updated
Oct 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 60314 WV Primary

Addresses

Primary practice location

445 Gienow Rd
Rural Retreat, VA 24368-3210

Mailing address

277 Greasy Ridge Rd
Princeton, WV 24739-6900
Phone (304) 425-7615

Other identifiers 1

IdentifierTypeStateIssuer
30017455310002MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20220714000239 VA Practitioner - Nurse Practitioner 4183717101 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alliance Xpress Care LLCGroup PAC ID 5496063091, 16 clinicians

Practice addresses (Care Compare)

5275 Alexander Rd
Suite a
Dublin, VA 24084-3657
Phone (540) 960-2231

919 S Craig Ave
Suite a
Covington, VA 24426-1954
Phone (540) 960-2231

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Royal Oak Medical Associates PC CurrentSince Mar 18, 2022 Accepting new patients
Alliance Xpress Care LLC CurrentSince Jan 1, 2024 Accepting new patients
Royal Oak Medical Associates PC CurrentSince Mar 18, 2022 Accepting new patients
Blue Ridge Family Medicine CurrentSince May 22, 2023 Accepting new patients
Royal Oak Medical Associates PC Current Accepting new patients
Wvva Health Care Alliance, PC Past Accepting new patients

Locations

919 S Craig Ave
Ste A
Covington, VA 24426
Phone (540) 960-2231

5275 Alexander Rd
Ste A
Dublin, VA 24084
Phone (540) 307-5597

1020 Terrace Dr
Ste 200
Marion, VA 24354
Phone (276) 783-7167

1048 Terrace Dr
Marion, VA 24354
Phone (276) 477-4246

306 S Main St
Rural Retreat, VA 24368
Phone (276) 686-4007

445 Gienow Rd
Rural Retreat, VA 24368
Phone (276) 686-4007

1100 9th St
Ste E
Vienna, WV 26105

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1861604852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "277 GREASY RIDGE RD",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247396900",
            "telephone_number": "304-425-7615",
            "fax_number": "304-425-7635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 GIENOW RD",
            "city": "RURAL RETREAT",
            "state": "VA",
            "postal_code": "243683210",
            "telephone_number": "276-686-4007",
            "fax_number": "276-686-4614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKAGGS",
        "first_name": "LAURA",
        "middle_name": "E",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-04",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "60314",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30017455310002",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rural Retreat, VA

Sources for this page

Verify at the official NPI Registry.