NPIMap

Individual provider Active NPI

Jamie Skrove, D.O.

  • Gastroenterology Physician
  • Cheyenne, WY
National Provider Identifier
1033524095
Registry record updated Jun 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
12618A Issued in WY
Practice address
7212 Commons Cir
Cheyenne, WY 82009-2667
Phone
(307) 635-4141
Fax
(307) 635-6587
NPI assigned
Jun 27, 2014
Last updated
Jun 21, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X UO3896 FL
Internal Medicine Physician 207R00000X OS13506 FL
Gastroenterology Physician 207RG0100X 12618A WY Primary

Addresses

Primary practice location

7212 Commons Cir
Cheyenne, WY 82009-2667

Mailing address

7212 Commons Cir
Cheyenne, WY 82009-2667
Phone (307) 635-4141

Other practice location 1

7031 SW 62nd Ave
South Miami, FL 33143-4701
Phone (305) 284-7500

Other identifiers 1

IdentifierTypeStateIssuer
1033524095MedicaidWY

Other names 1

  • Jamie Boehmke Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200806001528 WY Practitioner - GastroenterologyPractitioner - Internal Medicine 6709181530 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Lake Erie Col of Osteo Med at Seton Hill Univ, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Digestive Health Associates of CheyenneGroup PAC ID 9032100557, 7 clinicians

Practice addresses (Care Compare)

7212 Commons Dr
Cheyenne, WY 82009-2675
Phone (307) 635-4141

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.38 of 100Reported as group
Quality
92.76
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy181
Upper gastrointestinal (GI) endoscopy for acid reflux231

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
UO3896FLMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medicine Group PC CurrentSince Aug 1, 2020 Accepting new patients
Digestive Health Associates of Cheyenne CurrentSince Aug 1, 2020 Accepting new patients

Locations

7212 Commons Cir
Cheyenne, WY 82009
Phone (307) 635-4141

Interoperability endpoints

  • Direct secure messaging: jskrove42642@direct.crmcwy.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1403827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624233600000",
    "number": "1033524095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7212 COMMONS CIR",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820092667",
            "telephone_number": "307-635-4141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7212 COMMONS CIR",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820092667",
            "telephone_number": "307-635-4141",
            "fax_number": "307-635-6587"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7031 SW 62nd Ave",
            "address_purpose": "LOCATION",
            "city": "South Miami",
            "state": "FL",
            "postal_code": "331434701",
            "country_code": "US",
            "telephone_number": "305-284-7500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SKROVE",
        "first_name": "JAMIE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-27",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": "UO3896",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS13506",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "WY",
            "license": "12618A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1033524095",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMIE",
            "last_name": "BOEHMKE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cheyenne, WY

Sources for this page

Verify at the official NPI Registry.