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JACOB SKINNER M.D.
NPI 1063686152
Obstetrics & Gynecology in Las Vegas, NV

Active since April 18, 2008PECOS Enrolled
4475 S EASTERN AVE, LAS VEGAS, NV 89119(702) 737-1880(702) 650-0763 Get Directions Write a Review

NPPES record last updated: December 15, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacob Skinner M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACOB SKINNER M.D. (NPI 1063686152) is an individual obstetrics & gynecology provider in Las Vegas, Nevada, licensed in Nevada (13197) and active in the NPI registry since April 2008. He is enrolled in Medicare PECOS and is a graduate of University Of Nevada School Of Medicine (2005).

NPPES Registry Identity

NPI1063686152
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameJACOB SKINNERCredential: M.D.
Location Address4475 S EASTERN AVELas Vegas, NV 89119-7826
Mailing Address1528 W Warm Springs Rd Ste 100Henderson, NV 89014-4332 · (702) 737-1880 · Fax (702) 650-0763
Phone(702) 737-1880
Fax(702) 650-0763
Sole ProprietorYes
Medical School CMSUniversity Of Nevada School Of MedicineGraduated 2005
Enumeration DateApril 18, 2008
Last NPPES UpdateDecember 15, 2021
NPPES CertifiedDecember 15, 2021
✔ NPI 1063686152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in NV · 13197✔ Licensed in AZ · 81015
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
4475 S EASTERN AVE, Las Vegas, NV 89119
Open in Google Maps ↗

Other Identifiers 1

Medicaid1063686152NV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacob Skinner M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5496892366
PECOS Enrollment IDI20091026000396
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89119 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$131.25 typical visit price
range $57.07 – $173.24
Typical copayment $32.81 (range $14.26 – $43.31)
Most-billed visit code 99204
Established Patient
$71.14 typical visit price
range $18.27 – $140.96
Typical copayment $17.78 (range $4.56 – $35.24)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JACOB A PARKS PA
Physician Assistant
4475 S EASTERN AVE
LAS VEGAS, NV 89119
Clark County (702) 877-5199
DR. RIONA ORDINADO FUJINAGA PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
4475 S EASTERN AVE, ADULT MEDICINE- POST DISCHARGE CLINIC
LAS VEGAS, NV 89119
Clark County (702) 669-5947
KWEKU R HUTCHFUL MD
Pediatrics
4475 S EASTERN AVE
LAS VEGAS, NV 89119
Clark County (702) 669-5944
CONCEPCION REYES SINGSON MD
Internal Medicine
4475 S EASTERN AVE
LAS VEGAS, NV 89119
Clark County (702) 669-5811
PAULINE MARIE HEUSER PA-C
Physician Assistant
4475 S EASTERN AVE
LAS VEGAS, NV 89119
Clark County (702) 877-5199
SHEEBA SAJI KUREEKATTIL APRN
Nurse Practitioner
4475 S EASTERN AVE
LAS VEGAS, NV 89119
Clark County (702) 877-5119
IAN WENG LAM
Family Medicine
4475 S EASTERN AVE
LAS VEGAS, NV 89119
Clark County (702) 877-5199
SHIRLEY HOANG FNP-C
Nurse Practitioner
4475 S EASTERN AVE
LAS VEGAS, NV 89119
Clark County (702) 877-5199

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacob Skinner's NPI number?

The NPI number for Jacob Skinner is 1063686152. It was assigned to this individual provider in the NPPES registry on April 18, 2008.

Where is Jacob Skinner located?

Jacob Skinner practices at 4475 S Eastern Ave, Las Vegas, NV 89119. The listed phone number is (702) 737-1880.

What is Jacob Skinner's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Jacob Skinner enrolled in Medicare?

Yes. Jacob Skinner is registered in the Medicare PECOS enrollment system.

What insurance does Jacob Skinner accept?

Health plans from Ambetter from Arizona Complete Health list Jacob Skinner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jacob Skinner was last updated on December 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.