2026 NPPES data Emergency Registered Nurse NPI 1376034066 MSN, APRN, FNP-C
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MELISSA SKINNER, MSN, APRN, FNP-C

Emergency Registered Nurse in ENNIS, Texas. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
1K
Medicare Part D claims · 190 beneficiaries · Emergency Registered Nurse avg: 710
Industry payments
$332.61
18 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

MELISSA SKINNER, MSN, APRN, FNP-C filed 1,309 Medicare Part D claims in 2023 as a Emergency Registered Nurse in ENNIS, Texas.

1K
Part D claims, 2023
$332.61
industry payments (Sunshine Act)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

MELISSA SKINNER, MSN, APRN, FNP-C's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

1,309 Top 21% higher than 79% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). Below this entry. 1,000–1,200: 31,827 prescribers (2%). Below this entry. 1,200–1,400: 26,224 prescribers (2%). This entry sits in this band. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Medicare Part D Prescriber Public Use File · 2023

What does the federal data show about MELISSA SKINNER, MSN, APRN, FNP-C?

Quality data not reported

NPI registry status

Active

Issued 05/29/2018

NPI 1376034066

Primary specialty

Emergency Registered Nurse

Niche

4,284 US NPIs in this specialty

Medicare Part D claims

1,309 84% vs specialty avg

2023 prescription claims

Specialty avg: 710

Specialty distribution in Texas

How Emergency Registered Nurse compares to other specialties among Texas providers

Texas providers

Emergency Registered Nurse share within Texas

1. Emergency Registered Nurse42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Emergency Registered Nurse share within Texas

Specialty board-certification context

Estimated specialty board-certified rate — Emergency Registered Nurse (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Emergency Registered Nurse ABMS/AOA estimate

Est. board-certified rate (Emergency Registered Nurse) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Emergency Registered Nurse) — ABMS / AOA estimate

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

MELISSA SKINNER, MSN, APRN, FNP-C appears in the CMS NPPES registry as a Emergency Registered Nurse provider holding MSN, APRN, FNP-C credentials at 206 S CLAY ST, ENNIS, TX, 75119, with a listed phone of (903) 229-4292. NPI 1376034066 was issued on 05/29/2018. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SKINNER most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 1,309 prescription claims written by this provider, covering 190 Medicare beneficiaries and totaling roughly $97K in drug spend, with an opioid prescribing rate of 1.3%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Emergency Registered Nurse is a narrow specialty nationwide, with 4,284 enrolled providers across 54 states and an average of 710 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

206 S CLAY ST
ENNIS, TX 75119

Provider Details

NPI 1376034066
Specialty Emergency Registered Nurse
Credentials MSN, APRN, FNP-C
Gender Female
NPI Issued 05/29/2018

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for MELISSA SKINNER, MSN, APRN, FNP-C. Source: openpaymentsdata.cms.gov.

Total received

$333

Largest payer

Corcept Therapeutics

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

License & disciplinary context — Texas TMB 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~77K Texas medical licensees in 2023 — they are NOT specific to MELISSA SKINNER, MSN, APRN, FNP-C. To verify MELISSA SKINNER, MSN, APRN, FNP-C's current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases

TMB publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Texas disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

1,309
Total Claims
$97K
Total Drug Cost
190
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,290
Total Day Supply
61,791
Generic Drug Cost
$15K
Opioid Claims
17 (1.3% rate)
Antibiotic Claims
111

Patient Demographics

Average Patient Age
69.7 years
Avg HCC Risk Score
1.31
Gender Split
68% female / 32% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What MELISSA SKINNER, MSN, APRN, FNP-C prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Prednisone
69
Albuterol Sulfate Hfa
Albuterol Sulfate
62
Metformin Hcl
58
Amlodipine Besylate
39
Montelukast Sodium
38
Azithromycin
31
Carvedilol
30
Tamsulosin Hcl
29
Atorvastatin Calcium
28
Levothyroxine Sodium
25

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Emergency Registered Nurse Overview

How MELISSA SKINNER, MSN, APRN, FNP-C fits within the Emergency Registered Nurse landscape nationally.

4,284
Emergency Registered Nurse Providers in US
54
States with Emergency Registered Nurse
710
Avg Claims per Provider

MELISSA SKINNER, MSN, APRN, FNP-C's 1,309 claims are above the specialty average of 710.

Nearby Emergency Registered Nurse Providers in Texas

Other clinicians with the same primary specialty enrolled in Texas, drawn from the same CMS NPPES roster as SKINNER.

Compare Emergency Registered Nurse nationally: see state-by-state distribution →

Frequently Asked Questions

What is MELISSA SKINNER, MSN, APRN, FNP-C's specialty?
MELISSA SKINNER, MSN, APRN, FNP-C specializes in Emergency Registered Nurse and practices in ENNIS, Texas. Credentials: MSN, APRN, FNP-C.
How much does MELISSA SKINNER, MSN, APRN, FNP-C prescribe under Medicare Part D?
In 2023, MELISSA SKINNER, MSN, APRN, FNP-C wrote 1,309 Medicare Part D claims totaling $97K in drug costs for 190 beneficiaries.
Where is MELISSA SKINNER, MSN, APRN, FNP-C located?
MELISSA SKINNER, MSN, APRN, FNP-C is located at 206 S CLAY ST, ENNIS, TX, 75119. Phone: (903) 229-4292.
What is MELISSA SKINNER, MSN, APRN, FNP-C's NPI number?
MELISSA SKINNER, MSN, APRN, FNP-C's National Provider Identifier (NPI) is 1376034066, issued on 05/29/2018.
Does MELISSA SKINNER, MSN, APRN, FNP-C prescribe opioids?
Yes, MELISSA SKINNER, MSN, APRN, FNP-C had 17 opioid claims in 2023 with an opioid prescribing rate of 1.3%.
How many Emergency Registered Nurse providers are there in the US?
There are 4,284 Emergency Registered Nurse providers across 54 states in the US. The average Emergency Registered Nurse provider writes 710 Medicare Part D claims per year.
What drugs does MELISSA SKINNER, MSN, APRN, FNP-C prescribe most often?
Based on 2023 Medicare Part D data, MELISSA SKINNER, MSN, APRN, FNP-C's most frequently prescribed drugs include Prednisone, Albuterol Sulfate Hfa, Metformin Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MELISSA SKINNER, MSN, APRN, FNP-C accept Medicare?
MELISSA SKINNER, MSN, APRN, FNP-C appears in CMS Medicare data with 1,309 Part D claims and 190 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MELISSA SKINNER, MSN, APRN, FNP-C's credentials?
MELISSA SKINNER, MSN, APRN, FNP-C's NPI is 1376034066 with credentials MSN, APRN, FNP-C. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology