BRANDON SKINNER (CRNP) – Family Nurse Practitioner, NPI 1083503916

BRANDON SKINNER (CRNP) is a healthcare provider. based in Hartford, Alabama. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. 1-169104 (AL). The NPI Number for BRANDON SKINNER (CRNP) is 1083503916

Main info

Male
1 Year Of Experience
Accepts Medicare Assignment
Name
BRANDON SKINNER (CRNP)
NPI
1083503916
Phone
(334) 726-0753
Address
291 ROSE AVE
Enumeration Date
3 July 2025
Last Update Date
3 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3343089797
Graduation Year
2025 (1 year ago)
PAC ID
2860996709
Group Practice PAC ID
8527043421
Professional Enrollment ID
I20250916000428
Address ID
AL363302563EN404XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

5,653 NURSE PRACTITIONER in AL

Provider Addresses for BRANDON SKINNER (CRNP)

  • 291 ROSE AVE

    HARTFORD, AL 363442126

    Phone: (334) 726-0753

    Type: Mailing

  • 404 N MAIN ST

    ENTERPRISE, AL 363302563

    Phone: (334) 308-9797

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-09-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250916000428INurse PractitionerALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 36344)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8527043421View full group profile
NameSpecialtyState
Physician AssistantAL
Physician AssistantPA
P O D I A T R YAL
Orthopedic SurgeryAL
Orthopedic SurgeryAL
-AL
Orthopedic SurgeryAL
Physician AssistantAL
-AL
Orthopedic SurgeryAL

Reviews

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Frequently asked questions

What is the registry number for BRANDON SKINNER (CRNP)?
The registry entry for BRANDON SKINNER (CRNP) shows NPI 1083503916.
Should I treat BRANDON SKINNER (CRNP) as an active provider?
Patients and plans typically see BRANDON SKINNER (CRNP) as active in the national extract.
Which specialty label fits BRANDON SKINNER (CRNP)?
NPPES ties BRANDON SKINNER (CRNP) to Family Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is BRANDON SKINNER (CRNP) tied to Hartford, Alabama?
If you are local to Hartford, Alabama, BRANDON SKINNER (CRNP) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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