Mrs Latisha Faye Skinkle, APRN in Concord, NC

Mrs Latisha Faye Skinkle, APRN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Concord, North Carolina. Her current practice location is 284 Executive Park Dr Ste 100, Concord, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 939-1100.

Mrs Latisha Faye Skinkle is licensed to practice in North Carolina (license number 5016185) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1699039248.

Contact Information

	Mrs Latisha Faye Skinkle, APRN
	284 Executive Park Dr Ste 100, Concord, NC 28025-1833
	(704) 939-1100
	(049) 391-1737

Map and Direction

Provider's Profile

Full Name	Mrs Latisha Faye Skinkle
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	284 Executive Park Dr Ste 100, Concord, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1699039248
Provider Enumeration Date: 06/28/2012
Last Update Date: 05/13/2025

Medicare PECOS Information:

PECOS PAC ID: 6901062827
Enrollment ID: I20120723000153

Medical Identifiers

Medical identifiers for Mrs Latisha Faye Skinkle such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699039248	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	3007523 (Kentucky)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	5016185 (North Carolina)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Latisha Faye Skinkle allows following entities to bill medicare on her behalf.

Entity Name	Gregory D Smith
Entity Type	Practitioner - Family Practice
Entity Identifiers	NPI Number: 1659375269 PECOS PAC ID: 6305734138 Enrollment ID: I20040918000133

Entity Name	Community Medical Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306983762 PECOS PAC ID: 7012811284 Enrollment ID: O20031120000656

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Latisha Faye Skinkle is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Latisha Faye Skinkle, APRN 284 Executive Park Dr Ste 100, Concord, NC 28025-1833 Ph: (704) 939-1100	Mrs Latisha Faye Skinkle, APRN 284 Executive Park Dr Ste 100, Concord, NC 28025-1833 Ph: (704) 939-1100

Reviews and Comments

Nurse Practitioner Nurses in Concord, NC

Lori Lovett Robinson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1090 Ne Gateway Ct Ne, Ste 202, Concord, NC 28025 Phone: 704-403-9050
Mrs. Laura Hudson Werner, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5225 Poplar Tent Rd, Concord, NC 28027 Phone: 704-782-1727
Nicole Elizabeth Longo, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1090 Ne Gateway Ct Ne, Ste 202, Concord, NC 28025 Phone: 704-403-9050
Jason K Freeburne, ARNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 101 Cabarrus Ave E, Concord, NC 28025 Phone: 888-849-7379 Fax: 855-857-7333
Temple Britt Byrd, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 Cabarrus Ave E Ste 200, Concord, NC 28025 Phone: 888-849-7379 Fax: 855-857-7333
John Emmett Fesperman, FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 101 Cabarrus Ave E, Concord, NC 28025 Phone: 888-849-7379 Fax: 855-857-7333
Kimberly Smith Gallagher, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 349 Penny Ln, Concord, NC 28025 Phone: 704-786-7158

Mrs Latisha Faye Skinkle, APRN - Medicare Nurse Practitioner in Concord, NC