STEPHANIE SKELLY (MD) – Obstetrics & Gynecology Physician, NPI 1649274382

STEPHANIE SKELLY (MD) is a healthcare provider. based in Brentwood, Tennessee. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. 036-095296 (IL). The NPI Number for STEPHANIE SKELLY (MD) is 1649274382

Main info

Female
34 Years Of Experience
Accepts Medicare Assignment
Name
STEPHANIE SKELLY (MD)
NPI
1649274382
Phone
(615) 465-7000
Address
7100 COMMERCE WAY
Enumeration Date
10 June 2005
Last Update Date
23 July 2013

Doctor Profile

Medical School Name
LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Secondary Phone
6189975266
Graduation Year
1992 (34 years ago)
PAC ID
1355247610
Group Practice PAC ID
1759270648
Professional Enrollment ID
I20031209000454
Address ID
IL622697358SH1170XBLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:21State licenses:1Digital endpointsOther names

1,934 OBSTETRICS/GYNECOLOGY in IL

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Provider Addresses for STEPHANIE SKELLY (MD)

  • 7100, Commerce Way, Mooreland Estates, Brentwood, Williamson County, Tennessee, 37027, United States

    SUITE 180

    BRENTWOOD, TN 370272829

    Phone: (615) 465-7000

    Type: Mailing

  • Station Crossing, Waterloo, Monroe County, Illinois, 62298, United States

    WATERLOO, IL 622981886

    Phone: (618) 939-1551

    Fax: (618) 939-1553

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 28 Open Payments records for all available years, with a total value of $514.

Total Amount is formed as General ($514) + Research ($0) + Ownership ($0) = $514.

Last reported payment date: 2024-09-19 • Largest payer in this snapshot: Sumitomo Pharma America, Inc. ($141).

Total Amount

$514

General + Research + Ownership

Payments

28

Total payment records

General Amount

$514

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-19

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: 2003-12-09

PECOS data refreshed: 2026-06-15

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
I20031209000454IObstetrics/GynecologyILTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes7056$0
99214Established patient office or other outpatient visit, 30-39 minutes2925$0
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination2626$0
87624Detection test by nucleic acid for human papillomavirus (hpv), high-risk types2020$0
Q0091Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory1313$0
View full utilization report →

Insurance plans in this area (ZIP 37027)

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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: 1759270648View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YIL
Nurse PractitionerIL
Certified Nurse Midwife (Cnm)IL
Certified Nurse Midwife (Cnm)IL
-IL
O B S T E T R I C S/ G Y N E C O L O G YIL
Certified Nurse Midwife (Cnm)IL
-IL
Certified Nurse Midwife (Cnm)IL
Nurse PractitionerIL

Reviews

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Frequently asked questions

Is STEPHANIE SKELLY (MD) listed with a National Provider Identifier?
Yes — STEPHANIE SKELLY (MD) has NPI 1649274382 on file in the registry.
Is STEPHANIE SKELLY (MD) shown as active in public data?
Registry records indicate STEPHANIE SKELLY (MD) maintains an active NPI.
What kind of doctor is STEPHANIE SKELLY (MD)?
STEPHANIE SKELLY (MD) is associated with Obstetrics & Gynecology Physician in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for STEPHANIE SKELLY (MD)?
Travel planning: use Brentwood, Tennessee as the reference point for STEPHANIE SKELLY (MD), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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