Individual provider Active NPI

Ira Allen Skirlock Jr., APRN, FNP-C

  • Family Nurse Practitioner
  • Richardson, TX
National Provider Identifier
1912671108
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1048713 Issued in TX
Practice address
2011 N Collins Blvd Ste 607
Richardson, TX 75080-2636
Phone
(800) 640-3451
NPI assigned
Aug 3, 2021
Last updated
Feb 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 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 1048713 TX Primary

Addresses

Primary practice location

2011 N Collins Blvd Ste 607
Richardson, TX 75080-2636

Mailing address

PO Box 914
Lehi, UT 84043-1189
Phone (800) 640-3451

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20220422001324 TX Practitioner - Nurse Practitioner 9133516008 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spencer J Hardenbrook MD PCGroup PAC ID 2062733546, 93 clinicians

Practice addresses (Care Compare)

7115 Blanco Rd
Suite 101
San Antonio, TX 78216-5045
Phone (800) 640-3451

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Spencer J Hardenbrook MD PC CurrentSince Mar 15, 2024 Accepting new patients
Total Point - Desoto LLC Family CurrentSince Oct 19, 2022 Accepting new patients
Northeast Texas Emergency Physicians, PLLC CurrentSince Apr 30, 2024 Accepting new patients
Pallicare, Inc CurrentSince Feb 23, 2022 Accepting new patients
Acs Primary Care Physicians Southwest, PA Family CurrentSince Jun 1, 2022 Accepting new patients
QV Urgent Care TX PLLC CurrentSince Jan 25, 2023 Accepting new patients
QV Urgent Care TX PLLC CurrentSince Jan 25, 2023 Accepting new patients

Locations

1007 S William St
Atlanta, TX 75551
Phone (903) 614-2000

1601 Elm St
Ste 4210
Dallas, TX 75201

1111 N Interstate 35 E
Desoto, TX 75115
Phone (469) 530-9220

1600 US Highway 79 S
Henderson, TX 75654
Phone (903) 657-9571

1517 E Rusk St
Jacksonville, TX 75766
Phone (903) 339-2370

1602 S Jackson St
Jacksonville, TX 75766
Phone (409) 782-5813

2901 4th St
Longview, TX 75605
Phone (281) 371-1800

2011 N Collins Blvd
Ste 607
Richardson, TX 75080
Phone (833) 258-7900

7115 Blanco Rd
Ste 101
San Antonio, TX 78216
Phone (210) 338-8800

115 Airport Rd
Sulphur Springs, TX 75482
Phone (903) 885-7671

800 E Dawson St
Tyler, TX 75701
Phone (903) 531-5018

306 E Main St
Whitehouse, TX 75791
Phone (430) 259-2051

Organizations & group practices 7

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": "1627948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707696000000",
    "number": "1912671108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 914",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840431189",
            "telephone_number": "800-640-3451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2011 N COLLINS BLVD STE 607",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750802636",
            "telephone_number": "800-640-3451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKIRLOCK",
        "first_name": "IRA",
        "middle_name": "ALLEN",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-03",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1048713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

Verify at the official NPI Registry.