Individual provider Active NPI

Roy Niels Skousen, DO

  • Anesthesiology Physician
  • Rio Rancho, NM
National Provider Identifier
1043229354
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
036170687 Issued in IL
Practice address
3001 Broadmoor Blvd NE
Rio Rancho, NM 87144-2100
Phone
(505) 994-7000
NPI assigned
Aug 5, 2006
Last updated
Apr 29, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

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

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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, SC8 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 8

Enrollment IDStateProvider typePAC IDDetails
I20050727000798 AZ Practitioner - Anesthesiology 7517935455
I20180309000399 NH Practitioner - Anesthesiology 7517935455 Reassigns benefits to 3 organizations
I20200929002011 MO Practitioner - Anesthesiology 7517935455 Reassigns benefits to 1 organization
I20210329002346 NM Practitioner - Anesthesiology 7517935455 Reassigns benefits to 1 organization
I20231208001992 OK Practitioner - Anesthesiology 7517935455 Reassigns benefits to 1 organization
I20231218000942 IN Practitioner - Anesthesiology 7517935455 Reassigns benefits to 1 organization
I20240711003387 IL Practitioner - Anesthesiology 7517935455 Reassigns benefits to 2 organizations
I20250506003341 SC Practitioner - Anesthesiology 7517935455 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rockford Health PhysiciansGroup PAC ID 2567374036, 520 clinicians

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 100Reported as apm
Quality
88.29
Promoting interoperability
98.25
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
95.19 of 100Reported as apm
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

LicenseStateTypeSpecialty
2214AZMDAnesthesiology Physician
0060187COMDAnesthesiology Physician
87733GAMDAnesthesiology Physician
036170687ILMDAnesthesiology Physician
2020021402MOMDAnesthesiology Physician
18886NHMDAnesthesiology Physician
2569OKMDAnesthesiology Physician
93591SCMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rockford Health Physicians Single Specialty CurrentSince Dec 2, 2024 Accepting new patients
Saint Luke's Physician Group Inc Single Specialty CurrentSince Jul 10, 2023 Accepting new patients
Concord Hospital-Franklin CurrentSince Nov 1, 2020 Accepting new patients
Indiana University Health Ball Memorial Physicians, Inc. Single Specialty CurrentSince Jan 2, 2024 Accepting new patients
Main Street Anesthesia of New Mexico, LLC Single Specialty CurrentSince Apr 1, 2021 Accepting new patients
North American Partners in Anesthesia New Hampshire LLP Single Specialty CurrentSince Feb 7, 2018 Accepting new patients
Northwestern Medical Faculty Foundation Single Specialty CurrentSince Jun 1, 2024 Accepting new patients
Northwestern Medical Faculty Foundation Single Specialty CurrentSince Jun 1, 2024 Accepting new patients
Bon Secours St. Francis Xavier Hosptial, Inc. Single Specialty CurrentSince May 8, 2025 Accepting new patients
Medstream Anesthesia PLLC Single Specialty CurrentSince Nov 9, 2023 Accepting new patients
Mercy Medical Center Single Specialty Current Accepting new patients
Lrghealthcare Single Specialty CurrentSince Nov 1, 2020 Accepting new patients
Bon Secours St Francis Xavier Hospital, Inc. Single Specialty Current Accepting new patients
Western Oklahoma Anesthesia Consultants PLLC Single Specialty CurrentSince Feb 26, 2024 Accepting new patients
Bon Secours St. Francis Xavier Hospital, Inc. CurrentSince May 8, 2025 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.

View all 15

Hospital & facility affiliations 1

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

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

Verify at the official NPI Registry.