Individual provider Active NPI

Allison Skinner

  • Physician Assistant
  • Kalamazoo, MI
National Provider Identifier
1952135428
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1717 Shaffer St Ste 232
Kalamazoo, MI 49048-1674
Phone
(269) 381-3963
NPI assigned
Aug 28, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

1717 Shaffer St Ste 232
Kalamazoo, MI 49048-1674

Mailing address

1717 Shaffer St Ste 232
Kalamazoo, MI 49048-1674
Phone (269) 381-3963

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20241121002489 MI Practitioner - Physician Assistant 1153856521 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Western Michigan Un Homer Stryker School of Med, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ascension Medical Group PromedGroup PAC ID 7315856077, 255 clinicians

Practice addresses (Care Compare)

1521 Gull Rd
Kalamazoo, MI 49048-1640
Phone (269) 226-5165

7901 Angling Rd
Portage, MI 49024-0714

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Medical Group Promed CurrentSince Jan 4, 2025 Accepting new patients
Ascension Borgess Lee Hospital CurrentSince Nov 30, 2024 Accepting new patients
Promed Healthcare CurrentSince Jan 4, 2025 Accepting new patients
Ascension Medical Group Promed Past Accepting new patients

Locations

520 Main St
Ste A
Dowagiac, MI 49047
Phone (269) 783-3052

420 W High St
Dowagiac, MI 49047
Phone (269) 782-8681

1717 Shaffer St
Ste 2
Kalamazoo, MI 49048

1722 Shaffer St
Ste 1
Kalamazoo, MI 49048
Phone (269) 381-3963

1717 Shaffer St
Ste 232
Kalamazoo, MI 49048
Phone (269) 226-5050

7901 Angling Rd
Portage, MI 49024
Phone (269) 324-8405

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1724803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1952135428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 SHAFFER ST STE 232",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490481674",
            "telephone_number": "269-381-3963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 SHAFFER ST STE 232",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490481674",
            "telephone_number": "269-381-3963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKINNER",
        "first_name": "ALLISON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-28",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.