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Deactivated NPI 1417568197 Deactivated / Inactive NPI Male Practitioner

Skylar Lane Mcnutt

Peer Specialist • Springfield, OH

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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, Skylar Mcnutt has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 14, 2020
NPI Deactivation Date January 31, 2024
Total Practice Duration ~4 Years of Practice (2020 – 2024)

Professional Overview & Biography Verified Profile Summary

Skylar Mcnutt was a registered Peer Specialist practicing in Springfield, OH. Throughout an active medical career spanning 4 years, Skylar Mcnutt provided care at the practice location at 4473 PHOENIX DR until profile deactivation on 2024-01-31.

Practice Location & Contact Primary Location

Practice Address

4473 Phoenix Dr

Springfield, OH 455036325

Telephone 9378690298

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Springfield, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 6.5 Yrs
Regional Practice Density
33 Specialists

Practicing in Springfield, OH (3139 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated January 31, 2024

Record deactivated on January 31, 2024

NPI Profile Active August 14, 2020

NPI status registered as active in NPPES database

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Updated Practice Location August 14, 2020

Registered at 4473 PHOENIX DR, SPRINGFIELD, OH 455036325 (Tel: 9378690298)

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Updated Business Mailing Address August 14, 2020

Registered at 4473 PHOENIX DR, SPRINGFIELD, OH 455036325 (Tel: 9378690298)

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Provider Name / Credentials Updated August 14, 2020

Recorded as SKYLAR MCNUTT

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 14, 2020

Peer Specialist

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Initial NPI Registration & Enumeration August 14, 2020

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: 1417568197
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 14, 2020
Last Update: August 14, 2020
Deactivation Date: January 31, 2024

Mailing Address

4473 Phoenix Dr

Springfield, OH 455036325

Phone: 9378690298

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.