Active NPI
Roy Niels Skousen, DO
- Anesthesiology Physician
- Rio Rancho, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 036170687
- Practice address
- 3001 Broadmoor Blvd NE
Rio Rancho, NM 87144-2100 - Phone
- (505) 994-7000
- NPI assigned
- Aug 5, 2006
- Last updated
- Apr 29, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 93591 | SC | |
| Anesthesiology Physician | 207L00000X | 2020021402 | MO | |
| Anesthesiology Physician | 207L00000X | 0060187 | CO | |
| Anesthesiology Physician | 207L00000X | 87733 | GA | |
| Anesthesiology Physician | 207L00000X | 2214 | AZ | |
| Anesthesiology Physician | 207L00000X | 2569 | OK | |
| Anesthesiology Physician | 207L00000X | 18886 | NH | |
| Anesthesiology Physician | 207L00000X | 02007573A | IN | |
| Anesthesiology Physician | 207L00000X | A-2467-21 | NM | |
| Anesthesiology Physician | 207L00000X | 036170687 | IL | Primary |
Addresses
Primary practice location
3001 Broadmoor Blvd NE
Rio Rancho, NM 87144-2100
Mailing address
2112 Copperfield
Stillwater, OK 74074-2187
Phone (405) 624-1097
Other practice location 1
2112 Copperfield
Stillwater, OK 74074-2187
Phone (405) 762-1566
Other practice location 2
10400 Haligus Rd
Huntley, IL 60142-9553
Phone (224) 654-0000
Other practice location 3
8201 E Riverside Blvd
Rockford, IL 61114-2300
Phone (815) 971-7000
Other practice location 4
2401 W University Ave
Muncie, IN 47303-3428
Phone (765) 751-2649
Other practice location 5
2095 Henry Tecklenburg Dr
Charleston, SC 29414-5733
Phone (843) 402-1436
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rskousen@direct.iuhealth.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, NH, MO, NM, OK, IN, IL, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 8
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8201 E Riverside Blvd
Rockford, IL 61114-2300
Phone (815) 971-2000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.14 of 100
- Quality
- 88.29
- Promoting interoperability
- 98.25
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.19 of 100
- Quality
- 83.05
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2214 | AZ | MD | Anesthesiology Physician |
| 0060187 | CO | MD | Anesthesiology Physician |
| 87733 | GA | MD | Anesthesiology Physician |
| 036170687 | IL | MD | Anesthesiology Physician |
| 2020021402 | MO | MD | Anesthesiology Physician |
| 18886 | NH | MD | Anesthesiology Physician |
| 2569 | OK | MD | Anesthesiology Physician |
| 93591 | SC | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rockford Health Physicians | Single Specialty | Current | Accepting new patients |
| Saint Luke's Physician Group Inc | Single Specialty | Current | Accepting new patients |
| Concord Hospital-Franklin | Current | Accepting new patients | |
| Indiana University Health Ball Memorial Physicians, Inc. | Single Specialty | Current | Accepting new patients |
| Main Street Anesthesia of New Mexico, LLC | Single Specialty | Current | Accepting new patients |
| North American Partners in Anesthesia New Hampshire LLP | Single Specialty | Current | Accepting new patients |
| Northwestern Medical Faculty Foundation | Single Specialty | Current | Accepting new patients |
| Northwestern Medical Faculty Foundation | Single Specialty | Current | Accepting new patients |
| Bon Secours St. Francis Xavier Hosptial, Inc. | Single Specialty | Current | Accepting new patients |
| Medstream Anesthesia PLLC | Single Specialty | Current | Accepting new patients |
| Mercy Medical Center | Single Specialty | Current | Accepting new patients |
| Lrghealthcare | Single Specialty | Current | Accepting new patients |
| Bon Secours St Francis Xavier Hospital, Inc. | Single Specialty | Current | Accepting new patients |
| Western Oklahoma Anesthesia Consultants PLLC | Single Specialty | Current | Accepting new patients |
| Bon Secours St. Francis Xavier Hospital, Inc. | Current | Accepting new patients |
Locations (25 of 33)
701 10th St SE
Cedar Rapids, IA 52403
Phone (319) 398-6011
Dept 5777
Carol Stream, IL 60122
29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652
3832 Solutions Ctr
Chicago, IL 60677
10400 Haligus Rd
Huntley, IL 60142
Phone (224) 654-0000
660 N Westmoreland Rd
#302
Lake Forest, IL 60045
515 Valley View Dr
Ste 201
Moline, IL 61265
Phone (312) 695-0870
2300 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-5510
2400 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-6310
8201 E Riverside Blvd
Rockford, IL 61114
Phone (815) 971-4066
250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174
221 N Celia Ave
Muncie, IN 47303
Phone (765) 747-3141
2401 W University Ave
Muncie, IN 47303
Phone (765) 747-3111
601 S US Highway 169
Smithville, MO 64089
Phone (816) 532-3999
580 Court St
Keene, NH 03431
Phone (603) 354-5454
80 Highland St
Laconia, NH 03246
Phone (603) 527-7100
10 Alice Peck Day Dr
Lebanon, NH 03766
Phone (603) 448-7440
11 Whitehall Rd
Rochester, NH 03867
Phone (603) 330-7905
3001 Broadmoor Blvd NE
Rio Rancho, NM 87144
Phone (505) 994-7000
117 E 19th St
Roswell, NM 88201
Phone (505) 727-2000
68 S Service Rd
Ste 350
Melville, NY 11747
Phone (516) 945-3107
430 N Monte Vista St
Ada, OK 74820
Phone (580) 226-1251
1800 Renaissance Blvd
Edmond, OK 73013
Phone (405) 359-2400
1710 W 3rd St
Ste 100
Elk City, OK 73644
Phone (580) 255-1555
1801 W 3rd St
Elk City, OK 73644
Phone 40584358551407
Organizations & group practices 15
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.
-
dba Mercyhealth Physicians
- Multi-Specialty Clinic/Center
- Rockford, IL
- NPI 1043242886
Single Specialty
-
- Anesthesiology Physician
- Albuquerque, NM
- NPI 1275010985
Single Specialty
-
- Cardiovascular Disease Physician
- Charleston, SC
- NPI 1740502822
Single Specialty
-
- Family Medicine Physician
- Muncie, IN
- NPI 1235455544
Single Specialty
-
dba LRGH Professional Billing Services
- Family Medicine Physician
- Laconia, NH
- NPI 1700976032
Single Specialty
-
- Anesthesiology Physician
- Richardson, TX
- NPI 1649616160
NH, Single Specialty
-
- Anesthesiology Physician
- Nashua, NH
- NPI 1306838701
Single Specialty
-
dba Northwestern Medical Group
- Multi-Specialty Clinic/Center
- Carol Stream, IL
- NPI 1346235314
Single Specialty
-
dba Saint Luke's Medical Group
- Family Medicine Physician
- Kansas City, MO
- NPI 1093263717
Single Specialty
-
- Anesthesiology Physician
- Elk City, OK
- NPI 1881102614
Single Specialty
-
dba Roper St. Francis Healthcare Pediatrics
- Pediatrics Physician
- Charleston, SC
- NPI 1982583068
-
dba St. Francis IP Neurology Services
- Neurology Physician
- Charleston, SC
- NPI 1578929634
Single Specialty
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Rockford, IL
- NPI 1629118609
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745884800000",
"number": "1043229354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2112 COPPERFIELD",
"city": "STILLWATER",
"state": "OK",
"postal_code": "740742187",
"telephone_number": "405-624-1097",
"fax_number": "405-624-1556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3001 BROADMOOR BLVD NE",
"city": "RIO RANCHO",
"state": "NM",
"postal_code": "871442100",
"telephone_number": "505-994-7000"
}
],
"practiceLocations": [
{
"address_1": "2112 Copperfield",
"address_purpose": "LOCATION",
"city": "Stillwater",
"state": "OK",
"postal_code": "740742187",
"country_code": "US",
"telephone_number": "405-762-1566",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10400 Haligus Rd",
"address_purpose": "LOCATION",
"city": "Huntley",
"state": "IL",
"postal_code": "601429553",
"country_code": "US",
"telephone_number": "224-654-0000",
"fax_number": "224-654-0000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8201 E Riverside Blvd",
"address_purpose": "LOCATION",
"city": "Rockford",
"state": "IL",
"postal_code": "611142300",
"country_code": "US",
"telephone_number": "815-971-7000",
"fax_number": "815-968-4795",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2401 W University Ave",
"address_purpose": "LOCATION",
"city": "Muncie",
"state": "IN",
"postal_code": "473033428",
"country_code": "US",
"telephone_number": "765-751-2649",
"fax_number": "765-281-6671",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2095 Henry Tecklenburg Dr",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "SC",
"postal_code": "294145733",
"country_code": "US",
"telephone_number": "843-402-1436",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SKOUSEN",
"first_name": "ROY",
"middle_name": "NIELS",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-05",
"last_updated": "2025-04-29",
"certification_date": "2025-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "SC",
"license": "93591",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MO",
"license": "2020021402",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CO",
"license": "0060187",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "GA",
"license": "87733",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "AZ",
"license": "2214",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "OK",
"license": "2569",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NH",
"license": "18886",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IN",
"license": "02007573A",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NM",
"license": "A-2467-21",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IL",
"license": "036170687",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rskousen@direct.iuhealth.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2401 W University Ave",
"city": "Muncie",
"state": "IN",
"country_code": "US",
"postal_code": "473033428",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Rio Rancho, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.