JAMES WILLIAM SKINNER MSN, APRN, PMHNP-BC
Accepted Insurance for NPI 1235320607
Nurse Practitioner - Psychiatric/Mental Health in Springfield, MO
Accepted Insurance & Health Plans Health Insurance Marketplace
Marketplace plan participation on file for this provider · 2026 plan year
JAMES WILLIAM SKINNER MSN, APRN, PMHNP-BC, a nurse practitioner provider in Springfield, MO, is listed as in-network for 616 health insurance plans from 4 insurance companies, led by Medica, UnitedHealthcare and Blue Cross and Blue Shield of Texas. This list is compiled from the CMS Health Insurance Marketplace public use files for the 2026 plan year.
Blue Cross and Blue Shield of Texas
Blue Advantage Bronze HMO? 204
Blue Advantage Bronze HMO? 301
Blue Advantage Bronze HMO? Standard
Blue Advantage Gold HMO? 206
Blue Advantage Gold HMO? 603
Blue Advantage Gold HMO? Standard
Blue Advantage Plus Bronze? 303
Blue Advantage Plus Bronze? 305
Blue Advantage Plus Bronze? Standard
Blue Advantage Plus Gold? 203
Blue Advantage Plus Gold? 803
Blue Advantage Plus Gold? Standard
Blue Advantage Plus Silver? 202
Blue Advantage Plus Silver? 605
Blue Advantage Plus Silver? Standard
Blue Advantage Security HMO? 200
Blue Advantage Silver HMO? 205
Blue Advantage Silver HMO? 801
Blue Advantage Silver HMO? Standard
MyBlue Health Bronze? 402
MyBlue Health Bronze? Standard
MyBlue Health Gold? 403
MyBlue Health Gold? Standard
MyBlue Health Silver? 405
MyBlue Health Silver? Standard
Medica
Balance by Medica Bronze $0 Copay PCP Visits
Balance by Medica Bronze Premier
Balance by Medica Expanded Bronze Standard
Balance by Medica Gold $0 Copay PCP Visits
Balance by Medica Gold Share
Balance by Medica Gold Standard
Balance by Medica Silver $0 Copay PCP Visits
Balance by Medica Silver Share
Balance by Medica Silver Standard
Medica with MU Health Care Bronze $0 Copay PCP Visits
Medica with MU Health Care Bronze Premier
Medica with MU Health Care Expanded Bronze Standard
Medica with MU Health Care Gold $0 Copay PCP Visits
Medica with MU Health Care Gold Share
Medica with MU Health Care Gold Standard
Medica with MU Health Care Silver $0 Copay PCP Visits
Medica with MU Health Care Silver Share
Medica with MU Health Care Silver Standard
Select by Medica Bronze $0 Copay PCP Visits
Select by Medica Bronze Share
Select by Medica Expanded Bronze Standard
Select by Medica Gold $0 Copay PCP Visits
Select by Medica Gold Share
Select by Medica Gold Standard
Select by Medica Silver $0 Copay PCP Visits
Select by Medica Silver Share
Select by Medica Silver Standard
Oscar Insurance Company
Bronze Classic 4700
Bronze Classic Standard
Bronze Elite + PCP Saver Plus
Bronze Elite + PCP Saver
Bronze Simple Diabetes
Gold Classic Standard
Gold Simple
Silver Classic Standard
Silver Elite Saver Plus
Silver Simple Diabetes
Silver Simple PCP Saver
Silver Simple Women's Health with Menopause Benefits
UnitedHealthcare
UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals)
UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals)
UHC Bronze Essential (No Referrals)
UHC Bronze Essential (No Referrals)
UHC Bronze Standard (No Referrals)
UHC Bronze Standard (No Referrals)
UHC Bronze Standard+ (Dental + Vision, No Referrals)
UHC Bronze Standard+ (Dental + Vision, No Referrals)
UHC Gold Advantage ($0 Virtual Urgent Care, No Referrals)
UHC Gold Advantage ($0 Virtual Urgent Care, No Referrals)
UHC Gold Advantage+ ($0 Virtual Urgent Care, Dental + Vision, No Referrals)
UHC Gold Advantage+ ($0 Virtual Urgent Care, Dental + Vision, No Referrals)
UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals)
UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $8 Tier 2 Rx, No Referrals)
UHC Gold Standard (No Referrals)
UHC Gold Standard (No Referrals)
UHC Silver Advantage ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals)
UHC Silver Advantage ($0 Virtual Urgent Care, No Referrals)
UHC Silver Advantage+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision, No Referrals)
UHC Silver Advantage+ ($0 Virtual Urgent Care, Dental + Vision, No Referrals)
UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals)
UHC Silver Standard (No Referrals)
UHC Silver Standard (No Referrals)
UHC Silver Standard+ (Dental + Vision, No Referrals)
UHC Silver Value ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals)
UHC Silver Value+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision, No Referrals)
Coverage Questions FAQs
Common questions about this provider’s insurance participation, answered from the CMS Health Insurance Marketplace and Medicare enrollment files.
What insurance does JAMES WILLIAM SKINNER MSN, APRN, PMHNP-BC accept?
Marketplace files for the 2026 plan year list JAMES WILLIAM SKINNER MSN, APRN, PMHNP-BC as in-network for 616 plans from 4 insurance companies. The largest networks are Medica (27 plans), UnitedHealthcare (26 plans), Blue Cross and Blue Shield of Texas (25 plans), followed by 1 more company. The full list above shows each plan's metal level, network type, and plan IDs.
Is JAMES WILLIAM SKINNER MSN, APRN, PMHNP-BC enrolled in Medicare?
The CMS enrollment files for this NPI show a PECOS enrollment record, which certifies the provider to order, refer, and prescribe for Medicare beneficiaries. The files do not currently show a Medicare assignment indicator; verify Medicare participation directly with the practice.
What network types does JAMES WILLIAM SKINNER MSN, APRN, PMHNP-BC participate in?
The accepted plans include 52 EPO plans, 29 HMO plans and 9 POS plans. EPO (Exclusive Provider Organization) plans cover network providers only, generally without referral requirements. HMO (Health Maintenance Organization) plans cover care from network providers and typically require a primary care referral for specialists. POS (Point of Service) plans combine HMO-style referrals with partial out-of-network coverage.
Where does this insurance data come from and how current is it?
Plan participation is compiled from the official CMS Health Insurance Marketplace public use files for the 2026 plan year and refreshed as CMS publishes updated files. Networks change during the year, so always verify coverage with the insurance company or the provider's office before scheduling care.
