Individual provider Active NPI

Kristen Skoney, MSN, RN, FNP-BC

  • Family Nurse Practitioner
  • Chesterfield, MI
National Provider Identifier
1114439395
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704289603 Issued in MI
Practice address
49248 Berkshire Dr
Chesterfield, MI 48047-1769
Phone
(586) 306-0107
NPI assigned
Oct 28, 2017
Last updated
Dec 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704289603 MI Primary

Addresses

Primary practice location

49248 Berkshire Dr
Chesterfield, MI 48047-1769

Mailing address

1170 Michigan Rd
Port Huron, MI 48060-4658
Phone (586) 306-0107

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: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1509148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733184000000",
    "number": "1114439395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1170 MICHIGAN RD",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480604658",
            "telephone_number": "586-306-0107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49248 BERKSHIRE DR",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "480471769",
            "telephone_number": "586-306-0107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKONEY",
        "first_name": "KRISTEN",
        "credential": "MSN, RN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-28",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704289603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MI

Sources for this page

Verify at the official NPI Registry.