Individual provider Active NPI

Alison Hayes Skurcenski, MD

  • Family Medicine Physician
  • Lemoyne, PA
National Provider Identifier
1114124195
Registry record updated Feb 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD068580-L Issued in PA
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

Updated by the provider on Feb 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
001770957MedicaidPA

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
Green means eligible to order or refer.
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

LicenseStateTypeSpecialty
MD068580-LPAMDFamily Medicine Physician

Interoperability endpoints

  • Direct secure messaging: 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

Verify at the official NPI Registry.