SKYLINE MEDICAL CENTER, P.C. – Medical Specialty Clinic/Center, NPI 1477526341

SKYLINE MEDICAL CENTER, P.C. is a healthcare provider. based in Elkhorn, Nebraska. specializing in Medical Specialty Clinic/Center. The NPI Number for SKYLINE MEDICAL CENTER, P.C. is 1477526341

Main info

Organization
Name
SKYLINE MEDICAL CENTER, P.C.
NPI
1477526341
Phone
(402) 289-4031
Address
1908 N 203RD ST
Authorized Official
WILLIAM P FITZGIBBONS PRESIDENT M.D.
Enumeration Date
9 February 2006
Last Update Date
17 August 2018
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:20State licenses:0Digital endpointsOther names

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Provider Addresses for SKYLINE MEDICAL CENTER, P.C.

  • 1908, North 203rd Street, Elkhorn, Omaha, Douglas County, Nebraska, 68022, United States

    ELKHORN, NE 680222889

    Phone: (402) 289-4031

    Fax: (402) 289-3185

    Mailing address matches the actual address.

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: 2008-04-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2024-07-31 (680 days ago).

Enrollment records

1

Earliest due date

2024-07-31

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
O20080417000371OClinic/Group PracticeNE2024-07-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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 68022)

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Reviews

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Frequently asked questions

Is there an official ID for SKYLINE MEDICAL CENTER, P.C. in U.S. healthcare records?
The official identifier for SKYLINE MEDICAL CENTER, P.C. is NPI 1477526341.
Is SKYLINE MEDICAL CENTER, P.C. shown as active in public data?
Registry records indicate SKYLINE MEDICAL CENTER, P.C. maintains an active NPI.
What clinical focus is listed for SKYLINE MEDICAL CENTER, P.C.?
At a glance, SKYLINE MEDICAL CENTER, P.C. is tied to Medical Specialty Clinic/Center. Clinical services aligned with this taxonomy classification.
Is SKYLINE MEDICAL CENTER, P.C. located near Elkhorn?
SKYLINE MEDICAL CENTER, P.C. currently maps to Elkhorn, Nebraska in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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