Active NPI
Alison Hayes Skurcenski, MD
- Family Medicine Physician
- Lemoyne, PA
National Provider Identifier
1114124195
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD068580-L
- Practice address
- 645 N 12TH St Ste 300
Lemoyne, PA 17043-1219 - Phone
- (717) 919-1845
- Fax
- (717) 296-0716
- NPI assigned
- Jul 2, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD068580-L | PA | Primary |
Addresses
Primary practice location
645 N 12TH St Ste 300
Lemoyne, PA 17043-1219
Mailing address
645 N 12TH St Ste 300
Lemoyne, PA 17043-1219
Phone (717) 919-1845
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001770957 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jan 3, 2022 through Jan 3, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD068580-L | PA | MD | Family Medicine Physician |
Interoperability endpoints
- alison.skurcenski@361236787888132.direct.elationemr.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706832000000",
"number": "1114124195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "645 N 12TH ST STE 300",
"city": "LEMOYNE",
"state": "PA",
"postal_code": "170431219",
"telephone_number": "717-919-1845",
"fax_number": "717-296-0716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "645 N 12TH ST STE 300",
"city": "LEMOYNE",
"state": "PA",
"postal_code": "170431219",
"telephone_number": "717-919-1845",
"fax_number": "717-296-0716"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKURCENSKI",
"first_name": "ALISON",
"middle_name": "HAYES",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-02",
"last_updated": "2024-02-02",
"certification_date": "2024-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "MD068580-L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001770957",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lemoyne, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2024; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.