Skyline Medical Practice LLC
NPI 1356951628ActiveOrganization· Nurse Practitioner· Front Royal, VA
Nurse Practitioner in Front Royal, Virginia, registered in NPPES in August 2020. The authorized official on file is Chelsey Dever, Credentialing Coordinator. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1356951628 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 3, 2020 |
| Last updated in NPPES | Jul 18, 2024 |
| Certified by provider | Jul 18, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (VA) |
|---|
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