JACOB SKINNER (M.D.) – Obstetrics & Gynecology Physician, NPI 1063686152
Obstetrics & Gynecology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
339 OBSTETRICS/GYNECOLOGY in NV
Provider Addresses for JACOB SKINNER (M.D.)
PO BOX 15645
LAS VEGAS, NV 891145645
Phone: (702) 737-1880
Fax: (702) 650-0763
Type: Mailing
4475 S EASTERN AVE
LAS VEGAS, NV 891197826
Phone: (702) 737-1880
Fax: (702) 650-0763
Type: Location
1528 W WARM SPRINGS RD STE 100
HENDERSON, NV 890144332
Phone: (702) 737-1880
Fax: (702) 650-0763
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $211.
Total Amount is formed as General ($211) + Research ($0) + Ownership ($0) = $211.
Last reported payment date: 2024-12-02 • Largest payer in this snapshot: Hologic Sales and Service, LLC ($33).
Total Amount
$211
General + Research + Ownership
Payments
10
Total payment records
General Amount
$211
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-02
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2009-10-26
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20091026000396 | I | Obstetrics/Gynecology | NV | TBD |
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.
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 89114)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | NV | |
| O B S T E T R I C S/ G Y N E C O L O G Y | NV | |
| O B S T E T R I C S/ G Y N E C O L O G Y | NV | |
| Nurse Practitioner | NV | |
| O B S T E T R I C S/ G Y N E C O L O G Y | NV | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OR | |
| O B S T E T R I C S/ G Y N E C O L O G Y | NV | |
| O B S T E T R I C S/ G Y N E C O L O G Y | TX | |
| O B S T E T R I C S/ G Y N E C O L O G Y | NV | |
| O B S T E T R I C S/ G Y N E C O L O G Y | NV |
Reviews
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