TAMMY L SKIDMORE CRNA
NPI 1427008176
Nurse Anesthetist, Certified Registered in Pocatello, ID

Active since May 12, 2006Accepts Medicare Assignment
777 HOSPITAL WAY, POCATELLO, ID 83201(208) 239-1000 Get Directions Write a Review

NPPES record last updated: November 1, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Tammy L Skidmore Crna NPPES

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

TAMMY L SKIDMORE CRNA (NPI 1427008176) is an individual nurse anesthetist, certified registered in Pocatello, Idaho, licensed in Idaho (RNA-582) and active in the NPI registry since May 2006. She is a graduate of Other (2003).

NPPES Registry Identity

NPI1427008176
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameTAMMY L SKIDMORECredential: CRNA
Location Address777 HOSPITAL WAYPocatello, ID 83201-5175
Mailing AddressPo Box 4107Pocatello, ID 83205-4107 · (208) 232-7760 · Fax (208) 232-1950
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateMay 12, 2006
Last NPPES UpdateNovember 1, 2011
✔ NPI 1427008176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in ID · RNA-582
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Also ListedRegistered NurseTaxonomy 163W00000X · License N27623 (ID)
777 HOSPITAL WAY, Pocatello, ID 83201

Other Identifiers 5

Medicaid200429720AKS
Medicare ID-Type Unspecified1604116ID
Other145477KS · Bcbs Ks Group 110017
Medicaid806817800ID
Medicare PIN145477KS

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tammy L Skidmore Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4981670700
PECOS Enrollment IDI20040902001296

Medicare Billing Reassignment

Medicare enrollment records show Tammy Skidmore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Nurse Anesthetist, Certified Registered
3520 E LOUISE DR
Meridian, ID 83642
  • Reassigned Medicare billing, Idaho enrollment

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for nerve modulation procedure spinal cord or repair of bone of spine of lower back accessed through skin using imaging guidance 01942
Anesthesia for nerve modulation or spine repair involves numbing the lower back area. This is done to ensure you don't feel pain during the procedure. The doctor uses imaging technology to accurately place the anesthetic. This makes the procedure safer and more effective.
39 services36 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83201 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
$121.27 typical visit price
range $52.44 – $160.17
Typical copayment $30.31 (range $13.11 – $40.04)
Most-billed visit code 99204
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
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.

Nurse Anesthetist, Certified Registered
777 HOSPITAL WAY
POCATELLO, ID 83201
Anesthesiology
777 HOSPITAL WAY
POCATELLO, ID 83201
Nurse Practitioner (Family)
777 HOSPITAL WAY
POCATELLO, ID 83201
Physician Assistant
777 HOSPITAL WAY
POCATELLO, ID 83201
Physician Assistant
777 HOSPITAL WAY
POCATELLO, ID 83201
Psychiatry & Neurology (Neurology)
777 HOSPITAL WAY, G15
POCATELLO, ID 83201
Physician Assistant
777 HOSPITAL WAY
POCATELLO, ID 83201
Specialist/Technologist (Athletic Trainer)
777 HOSPITAL WAY
POCATELLO, ID 83201

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 Tammy Skidmore's NPI number?

The NPI number for Tammy Skidmore is 1427008176. It was assigned to this individual provider in the NPPES registry on May 12, 2006.

Where is Tammy Skidmore located?

Tammy Skidmore practices at 777 Hospital Way, Pocatello, ID 83201. The listed phone number is (208) 239-1000.

What is Tammy Skidmore's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Tammy Skidmore enrolled in Medicare?

Yes. Tammy Skidmore is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Tammy Skidmore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tammy Skidmore reassigns Medicare benefits to T-Medica Mobil Anesthesia Inc. (Meridian, ID). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tammy Skidmore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tammy Skidmore accept?

Health plans from Molina Healthcare and Select Health list Tammy Skidmore 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 Tammy Skidmore was last updated on November 1, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.