SAMUEL SKIDMORE CRNP
NPI 1710436811
Nurse Practitioner - Psychiatric/Mental Health in Mobile, AL

Active since September 29, 2016PECOS EnrolledAccepts Medicare Assignment
5 MOBILE INFIRMARY CIR, MOBILE, AL 36607(251) 435-5153 Get Directions Write a Review

NPPES record last updated: August 19, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 19, 2019, Sep 29, 2016 (2 updates tracked since 2016).

About Samuel Skidmore Crnp NPPES

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

SAMUEL SKIDMORE CRNP (NPI 1710436811) is an individual psychiatric/mental health provider in Mobile, Alabama, licensed in Alabama (1-137468) and active in the NPI registry since September 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1710436811
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameSAMUEL SKIDMORECredential: CRNP
Location Address5 MOBILE INFIRMARY CIRMobile, AL 36607-3513
Mailing Address105 Conway Dr WMobile, AL 36608-1740 · (251) 753-6369
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateSeptember 29, 2016
Last NPPES UpdateAugust 19, 20192 updates tracked since enumeration
NPI 1710436811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in AL · 1-137468
5 MOBILE INFIRMARY CIR, Mobile, AL 36607

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Samuel Skidmore Crnp 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 ID42599565
PECOS Enrollment IDI20161128000233
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36607 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
Most-billed visit code 99214
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
5 MOBILE INFIRMARY CIR
MOBILE, AL 36607
Internal Medicine
5 MOBILE INFIRMARY CIR
MOBILE, AL 36607
Nurse Practitioner (Family)
5 MOBILE INFIRMARY CIR
MOBILE, AL 36607
Anesthesiology
5 MOBILE INFIRMARY CIR
MOBILE, AL 36607
Family Medicine
5 MOBILE INFIRMARY CIR
MOBILE, AL 36607
Emergency Medicine
5 MOBILE INFIRMARY CIR
MOBILE, AL 36607
Nurse Practitioner (Family)
5 MOBILE INFIRMARY CIR
MOBILE, AL 36607
Pathology (Clinical Pathology/Laboratory Medicine)
5 MOBILE INFIRMARY CIR
MOBILE, AL 36607

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 Samuel Skidmore's NPI number?

The NPI number for Samuel Skidmore is 1710436811. It was assigned to this individual provider in the NPPES registry on September 29, 2016.

Where is Samuel Skidmore located?

Samuel Skidmore practices at 5 Mobile Infirmary Cir, Mobile, AL 36607. The listed phone number is (251) 435-5153.

What is Samuel Skidmore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Samuel Skidmore enrolled in Medicare?

Yes. Samuel 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.

What insurance does Samuel Skidmore accept?

Health plans from Blue Cross and Blue Shield of Alabama list Samuel 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 Samuel Skidmore was last updated on August 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.