MR. SKYLAR JAMES WEIRAUCH (PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1285490250

MR. SKYLAR JAMES WEIRAUCH (PMHNP) is a healthcare provider. based in Houghton lake, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP. They hold a License No. 4704366042 (MI). The NPI Number for MR. SKYLAR JAMES WEIRAUCH (PMHNP) is 1285490250

Main info

Male
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
MR. SKYLAR JAMES WEIRAUCH (PMHNP)
NPI
1285490250
Phone
(989) 890-4729
Address
223 REDWINE DR
Enumeration Date
26 February 2024
Last Update Date
26 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9898736200
Graduation Year
2023 (3 years ago)
PAC ID
8921448093
Group Practice PAC ID
3577560846
Professional Enrollment ID
I20240507000365
Address ID
MI487568626PR1827XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

8,106 NURSE PRACTITIONER in MI

Provider Addresses for MR. SKYLAR JAMES WEIRAUCH (PMHNP)

  • 223 REDWINE DR

    HOUGHTON LAKE, MI 486299135

    Phone: (989) 890-4729

    Type: Mailing

  • 1827 GREENWOOD RD

    PRESCOTT, MI 487568626

    Phone: (989) 873-6200

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $49.

Total Amount is formed as General ($49) + Research ($0) + Ownership ($0) = $49.

Last reported payment date: 2024-08-27 • Largest payer in this snapshot: ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) ($49).

Total Amount

$49

General + Research + Ownership

Payments

1

Total payment records

General Amount

$49

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-27

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2024-05-07

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
I20240507000365INurse PractitionerMITBD

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 48629)

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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: 3577560846View full group profile
NameSpecialtyState
Nurse PractitionerMI
Nurse PractitionerMI
Family PracticeMI
Nurse PractitionerMI
Internal MedicineMI
Nurse PractitionerMI
Nurse PractitionerMI
Clinical Social WorkerMI
P S Y C H I A T R YMI
Family PracticeMI

Reviews

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Frequently asked questions

What is the standard ID for MR. SKYLAR JAMES WEIRAUCH (PMHNP) in the U.S.?
In the U.S., MR. SKYLAR JAMES WEIRAUCH (PMHNP) is identified by NPI 1285490250.
Is MR. SKYLAR JAMES WEIRAUCH (PMHNP)'s NPI status active today?
Active status means MR. SKYLAR JAMES WEIRAUCH (PMHNP)'s NPI record is not deactivated in the public file.
What services align with MR. SKYLAR JAMES WEIRAUCH (PMHNP)'s listing?
MR. SKYLAR JAMES WEIRAUCH (PMHNP)'s public classification highlights Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What city is tied to MR. SKYLAR JAMES WEIRAUCH (PMHNP)?
The directory associates MR. SKYLAR JAMES WEIRAUCH (PMHNP) with Houghton Lake, Michigan. Check all listed addresses for suites or satellite offices.
Can I export MR. SKYLAR JAMES WEIRAUCH (PMHNP)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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