1. Home
  2. Directory
  3. Michigan
  4. Mount Clemens
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

NOAH A SKANTZ DO
NPI 1679216063
Student in an Organized Health Care Education/Training Program in Mount Clemens, MI

Active since April 14, 2022PECOS Enrolled
1000 HARRINGTON ST, MOUNT CLEMENS, MI 48043(586) 493-8000 Get Directions Write a Review

NPPES record last updated: April 14, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Noah A Skantz Do NPPES

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

NOAH A SKANTZ DO (NPI 1679216063) is an individual student in an organized health care education/training program in Mount Clemens, Michigan and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679216063
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameNOAH A SKANTZCredential: DO
Location Address1000 HARRINGTON STMount Clemens, MI 48043-2920
Mailing Address1000 Harrington StMount Clemens, MI 48043-2920 · (586) 493-8000
Phone(586) 493-8000
Sole ProprietorNo
Enumeration DateApril 14, 2022
NPPES CertifiedApril 14, 2022
✔ NPI 1679216063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1000 HARRINGTON ST, Mount Clemens, MI 48043
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Noah A Skantz Do 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.

Medicare Billing Reassignment

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

South Nassau Physician Group PC
498 mi
Emergency Medicine
1 HEALTHY WAY
Oceanside, NY 11572
  • Reassigned Medicare billing, New York enrollment
  • 52 clinicians in this Medicare group
NPI 1922460542 (516) 632-3000

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 20

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

LEMAR GARDEZI MD
Student in an Organized Health Care Education/Training Program
1000 HARRINGTON ST
MOUNT CLEMENS, MI 48043
Macomb County (586) 493-3727
WILLIAM B HALACOGLU DO PC
Emergency Medicine
1000 HARRINGTON ST
MOUNT CLEMENS, MI 48043
Macomb County (586) 493-8101
JAVIER ZARATE
Nurse Anesthetist, Certified Registered
1000 HARRINGTON ST
MOUNT CLEMENS, MI 48043
Macomb County (586) 493-8000
KRISTIN HOFSTAD PA
Physician Assistant
1000 HARRINGTON ST
MOUNT CLEMENS, MI 48043
Macomb County (586) 493-8000
ANDREA PERRIN DO
Student in an Organized Health Care Education/Training Program
1000 HARRINGTON ST
MOUNT CLEMENS, MI 48043
Macomb County (586) 493-8000
JESSICA JOYCE LUTKENHOFF MD
Student in an Organized Health Care Education/Training Program
1000 HARRINGTON ST
MOUNT CLEMENS, MI 48043
Macomb County (586) 493-8000
ABIRA MUMTAZ
Internal Medicine
1000 HARRINGTON ST
MOUNT CLEMENS, MI 48043
Macomb County (586) 493-8000
MS. LINDSEY APRIL MCCLAIN CRNA
Nurse Anesthetist, Certified Registered
1000 HARRINGTON ST
MOUNT CLEMENS, MI 48043
Macomb County (586) 493-8000

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 Noah Skantz's NPI number?

The NPI number for Noah Skantz is 1679216063. It was assigned to this individual provider in the NPPES registry on April 14, 2022.

Where is Noah Skantz located?

Noah Skantz practices at 1000 Harrington St, Mount Clemens, MI 48043. The listed phone number is (586) 493-8000.

What is Noah Skantz's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Noah Skantz enrolled in Medicare?

Yes. Noah Skantz is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Noah Skantz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Noah Skantz reassigns Medicare benefits to South Nassau Physician Group PC (Oceanside, NY). 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 Noah Skantz'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 Noah Skantz was last updated on April 14, 2022. 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.