MITCHELL SHANE SKINNER PA-C
NPI 1457869240
Physician Assistant in Fayetteville, NC

Active since January 16, 2018PECOS Enrolled
3637 CAPE CENTER DR, FAYETTEVILLE, NC 28304(910) 491-1760(910) 491-1764 Get Directions Write a Review

NPPES record last updated: January 16, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mitchell Shane Skinner Pa-c NPPES

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

MITCHELL SHANE SKINNER PA-C (NPI 1457869240) is an individual physician assistant in Fayetteville, North Carolina, licensed in North Carolina (0010-07788) and active in the NPI registry since January 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457869240
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMITCHELL SHANE SKINNERCredential: PA-C
Location Address3637 CAPE CENTER DRFayetteville, NC 28304-4457
Mailing Address3637 Cape Center DrFayetteville, NC 28304-4457 · (910) 491-1760 · Fax (910) 491-1764
Fax(910) 491-1764
Sole ProprietorNo
Enumeration DateJanuary 16, 2018
NPI 1457869240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NC · 0010-07788
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

3637 CAPE CENTER DR, Fayetteville, NC 28304

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mitchell Shane Skinner Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Areas of Expertise CMS Part B claims 3

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
54 services53 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
32 services32 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
26 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28304 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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 10

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

Nurse Practitioner (Family)
3637 CAPE CENTER DR
FAYETTEVILLE, NC 28304
Internal Medicine (Cardiovascular Disease)
3637 CAPE CENTER DR
FAYETTEVILLE, NC 28304
Physician Assistant
3637 CAPE CENTER DR
FAYETTEVILLE, NC 28304
Internal Medicine (Interventional Cardiology)
3637 CAPE CENTER DR
FAYETTEVILLE, NC 28304
Nurse Practitioner
3637 CAPE CENTER DR
FAYETTEVILLE, NC 28304
Nurse Practitioner
3637 CAPE CENTER DR
FAYETTEVILLE, NC 28304
Internal Medicine (Cardiovascular Disease)
3637 CAPE CENTER DR
FAYETTEVILLE, NC 28304
Specialist
3637 CAPE CENTER DR
FAYETTEVILLE, NC 28304

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 Mitchell Skinner's NPI number?

The NPI number for Mitchell Skinner is 1457869240. It was assigned to this individual provider in the NPPES registry on January 16, 2018.

Where is Mitchell Skinner located?

Mitchell Skinner practices at 3637 Cape Center Dr, Fayetteville, NC 28304. The listed phone number is (910) 491-1760.

What is Mitchell Skinner's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Mitchell Skinner enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Mitchell Skinner was last updated on January 16, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.