ADAM SKIDMORE (NP) – Critical Care Medicine Registered Nurse, NPI 1104487669

ADAM SKIDMORE (NP) is a healthcare provider. based in Mckinney, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. AP142274 (TX). The NPI Number for ADAM SKIDMORE (NP) is 1104487669

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
ADAM SKIDMORE (NP)
NPI
1104487669
Phone
(469) 430-3804
Address
2745 INDIAN OAK DR
Enumeration Date
25 June 2019
Last Update Date
17 September 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9549395000
Graduation Year
2019 (7 years ago)
PAC ID
2769816081
Group Practice PAC ID
4688715691
Professional Enrollment ID
I20191219001402
Address ID
TX750717822MC5252XDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

22,209 NURSE PRACTITIONER in TX

Provider Addresses for ADAM SKIDMORE (NP)

  • 2745 INDIAN OAK DR

    MCKINNEY, TX 750718244

    Phone: (469) 430-3804

    Type: Mailing

  • 9440 POPPY DR

    DALLAS, TX 752183652

    Phone: (214) 324-6100

    Type: Location

  • 4804, Wagner Drive, The W's, The Colony, Denton County, Texas, 75056, United States

    THE COLONY, TX 750561130

    Phone: (469) 430-3804

    Type: Mailing

  • CHRISTUS Spohn Hospital Corpus Christi - Shoreline, 600, Elizabeth Street, Corpus Christi, Nueces County, Texas, 78404, United States

    CORPUS CHRISTI, TX 784042235

    Phone: (361) 881-3000

    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: 2019-12-19

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
I20191219001402INurse PractitionerTXTBD

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
99291Critical care, first 30-74 minutes4528$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes3412$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1717$0
View full utilization report →

Insurance plans in this area (ZIP 75071)

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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: 4688715691View full group profile
NameSpecialtyState
Critical Care (Intensivists), Emergency MedicineTX
Nurse PractitionerTX
Pulmonary Disease, Critical Care (Intensivists), Internal MedicineDC
Internal MedicineMI
Critical Care (Intensivists)PA
Internal MedicineTX
Internal MedicineTX
Pulmonary DiseaseTX
Internal MedicineOH
Internal Medicine, Critical Care (Intensivists)TX

Reviews

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Frequently asked questions

Is ADAM SKIDMORE (NP) listed with a National Provider Identifier?
Yes — ADAM SKIDMORE (NP) has NPI 1104487669 on file in the registry.
Is ADAM SKIDMORE (NP) shown as active in public data?
Registry records indicate ADAM SKIDMORE (NP) maintains an active NPI.
What clinical focus is listed for ADAM SKIDMORE (NP)?
At a glance, ADAM SKIDMORE (NP) is tied to Critical Care Medicine Registered Nurse. Clinical services aligned with this taxonomy classification.
What locale is associated with ADAM SKIDMORE (NP)?
Directory geography for ADAM SKIDMORE (NP) centers on Mckinney, Texas.
When was this NPI issued?
Enumeration for ADAM SKIDMORE (NP) is noted as June 25, 2019 where the registry provides it.

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