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Deactivated NPI 1508235029 Deactivated / Inactive NPI Female Practitioner

Serena Skinner , NP

Nurse Practitioner • Roswell, NM

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Serena Skinner has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 15, 2015
NPI Deactivation Date March 09, 2023
Total Practice Duration ~8 Years of Practice (2015 – 2023)

Professional Overview & Biography Verified Profile Summary

Serena Skinner, NP was a registered Nurse Practitioner practicing in Roswell, NM. Throughout an active medical career spanning 8 years, Serena Skinner provided care at the practice location at 614 N MAIN ST until profile deactivation on 2023-03-09.

Historical Medicare Part B clinical services included routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only, emergency department visit for life threatening or functioning severity, emergency department visit with moderate level of medical decision making. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

614 N Main St

Roswell, NM 882014824

Telephone 5756225705
Associated Practice Facility / Clinic
🏢 Roswell Family Care, Llc Facility NPI 1134499262

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Roswell, NM

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.8 Yrs
State Avg: 11.2 Yrs
Regional Practice Density
18 Specialists

Practicing in Roswell, NM (577 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
90.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
15 14 $65.01 $6.51

Medical Specialties & State Licenses

CMS Verified: 2023-03-15
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License NM CNP-02778

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Annette Aguilar Cnp , CFNP

Nurse Practitioner - Family

NPI 1538127980
Gina Vela , CNP

Nurse Practitioner - Family

NPI 1689158586

Certified Nurse Practitioner

Chad Libbey

Family Medicine

NPI 1770432007

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
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Updated Practice Location March 15, 2023

Registered at 614 N MAIN ST, ROSWELL, NM 882014824 (Tel: 5756225705)

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Updated Business Mailing Address March 15, 2023

Registered at 1106 E ELM AVE, ROSWELL, NM 882018321 (Tel: 5759148422)

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Provider Name / Credentials Updated March 15, 2023

Recorded as SERENA SKINNER, NP

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 15, 2023

Nurse Practitioner (License #CNP-02778 in NM)

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NPI Profile Deactivated March 09, 2023

Record deactivated on March 09, 2023

NPI Profile Active October 06, 2015

NPI status registered as active in NPPES database

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Updated Practice Location October 06, 2015

Registered at 614 N MAIN ST, ROSWELL, NM 882014824 (Tel: 5756225705)

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Updated Business Mailing Address October 06, 2015

Registered at 1106 E ELM AVE, ROSWELL, NM 882018321 (Tel: 5759148422)

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Provider Name / Credentials Updated October 06, 2015

Recorded as SERENA SKINNER, NP

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 06, 2015

Nurse Practitioner (License #CNP-02778 in NM)

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Initial NPI Registration & Enumeration September 15, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1508235029
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 15, 2015
Last Update: March 15, 2023
Deactivation Date: March 09, 2023
Sole Proprietor: No

Mailing Address

1106 E Elm Ave

Roswell, NM 882018321

Phone: 5759148422

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.