NPI age
14 years
Enumerated 2011-12-09
● Active
Type 1 · Individual
Kevin Skinner, PA
Skinner is 1 of 101 physician assistant providers in Tyler and 1 of 11022 in Texas.
Primary specialty
Physician Assistant
Plus 1 subspecialty
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-11-14
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 11022 active physician assistant providers in Texas.
NPI age
14 years
↑ 4 yr above median (10 yr)
State licenses
1 state
7% of peers hold multiple states
Subspecialties
0
23% of peers hold subspecialties
NPI lifetime · 2011 → 2026
2011-12Enumerated in NPPES
2011
2026
Where they practice
Practice location
800 E Dawson St
Tyler, TX 757012036
Mailing address
Po Box 846098
Dallas, TX 752846098
Additional practice locations
4 secondary locations on file with NPPES.
Location 2
8389 S Broadway Ave
Tyler, TX 757035408
Location 3
115 Airport Rd
Sulphur Springs, TX 754822105
Location 4
18780 Interstate 20
Canton, TX 751033593
Location 5
2026 S Jackson St
Jacksonville, TX 757665822
Specialties
-
Physician Assistant PrimaryA physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 75-0818167-048 | TRICARE |
| 01 (TX) | 75-1976930-005 | TRICARE |
| 01 (TX) | 75-2616977-028 | TRICARE |
| 01 (TX) | P01200590 | RAIL ROAD |
| 01 (TX) | P01276462 | RAIL ROAD |
| 05 (TX) | 288707706 | |
| 05 (TX) | 288707707 | |
| 01 (TX) | P01200614 | RAIL ROAD |
| 05 (TX) | 288707704 | |
| 05 (TX) | 288707703 | |
| 01 (TX) | 8107ND | BCBS |
| 01 (TX) | 8108ND | BCBS |
| 01 (TX) | 75-0818167-015 | TRICARE |
| 01 (TX) | 75-0818167-044 | TRICARE |
| 01 (TX) | 75-2616977-001 | TRICARE |
| 01 (TX) | 75-2616977-129 | TRICARE |
| 05 (TX) | 288707705 | |
| 01 (TX) | 75-0818167-022 | TRICARE |
| 01 (TX) | 75-2616977-002 | TRICARE |
| 01 (TX) | 8808NA | BCBS |
Practice context
Part of a multi-provider practice. 321 other active providers share this practice address in NPPES.
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.