SKYLAR OLIVIA CLUM
NPI 1558100347
Chiropractor in San Juan, PR
About Skylar Olivia Clum NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SKYLAR OLIVIA CLUM (NPI 1558100347) is an individual chiropractor in San Juan, Puerto Rico, licensed in Puerto Rico (967) and active in the NPI registry since May 2024.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Skylar Olivia Clum is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Skylar Clum reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Juan, PR 00912
- Reassigned Medicare billing, Puerto Rico enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN JUAN, PR 00912
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 Skylar Clum's NPI number?
The NPI number for Skylar Clum is 1558100347. It was assigned to this individual provider in the NPPES registry on May 21, 2024.
Where is Skylar Clum located?
Skylar Clum practices at 225 Calle Del Parque, San Juan, PR 00912. The listed phone number is (631) 538-5630.
What is Skylar Clum's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Skylar Clum enrolled in Medicare?
Yes. Skylar Clum is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Skylar Clum's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Skylar Clum reassigns Medicare benefits to Life University Inc (San Juan, PR). 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 Skylar Clum's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Skylar Clum was last updated on August 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Skylar Olivia Clum · NPI 1558100347
Chiropractor provider in San Juan, Puerto Rico. Individual provider, active in the CMS NPPES registry since May 21, 2024.
## Identity
- **NPI:** 1558100347 (Entity type: Individual)
- **Enumerated:** May 21, 2024
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** 967 (Puerto Rico)
- **Sole proprietor:** No
## Practice location
- **Address:** 225 CALLE DEL PARQUE, San Juan, PR 00912-3247
- **Phone:** (631) 538-5630
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Life University Inc (NPI 1508580978, San Juan, PR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 27, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1558100347) · Data from the CMS NPPES public registry.