NPIMap

Individual provider Active NPI

Andrew James Skokan, FNP

  • Family Nurse Practitioner
  • Sonora, CA
National Provider Identifier
1245800416
Registry record updated Jun 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95017504 Issued in CA
Practice address
13975 Mono Way
Suite G
Sonora, CA 95370-2824
Phone
(209) 533-9600
NPI assigned
Jun 29, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2021

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 95017504 CA Primary

Addresses

Primary practice location

13975 Mono Way
Suite G
Sonora, CA 95370-2824

Mailing address

13975 Mono Way Ste G
Sonora, CA 95370-2824
Phone (209) 533-9600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210707003573 CA Practitioner - Nurse Practitioner 7719389113 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sonora Community HospitalGroup PAC ID 4284538505, 134 clinicians

Practice addresses (Care Compare)

900 Mono Way
Sonora, CA 95370-5229
Phone (209) 536-6940

Hospital & facility affiliations

  • Adventist Health Sonora Hospital, Sonora, CA, CCN 050335
  • Mark Twain Medical Center Hospital, San Andreas, CA, CCN 051332

Merit-based Incentive Payment System (MIPS)

Final score
95.77 of 100Reported as apm
Quality
81.54
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
47.39 of 100Reported as group
Quality
13.78
Promoting interoperability
0
Improvement activities
40
Cost
81.09

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sonora Community Hospital CurrentSince Jul 1, 2025 Accepting new patients
Sonora Community Hospital Current Accepting new patients
Tuolumne Mewuk Indian Health Center, Inc Family CurrentSince Jul 1, 2024 Accepting new patients
Tuolumne Me-Wuk Indian Health Center, Inc. CurrentSince Jul 1, 2024 Accepting new patients
Sonora Community Hospital CurrentSince Jul 1, 2025 Accepting new patients
Sonora Community Hospital Past Accepting new patients

Locations

1000 Greenley Rd
Sonora, CA 95370
Phone (209) 263-0803

900 Mono Way
Sonora, CA 95370
Phone (209) 536-6925

680 Guzzi Ln
Ste 201
Sonora, CA 95370
Phone (209) 536-1785

13975 Mono Way
Ste G
Sonora, CA 95370
Phone (209) 288-6502

18880 Cherry Valley Blvd
Tuolumne, CA 95379
Phone (209) 928-5400

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1624924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624924800000",
    "number": "1245800416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13975 MONO WAY STE G",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953702824",
            "telephone_number": "209-533-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13975 MONO WAY",
            "address_2": "SUITE G",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953702824",
            "telephone_number": "209-533-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKOKAN",
        "first_name": "ANDREW",
        "middle_name": "JAMES",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-29",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95017504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sonora, CA

Sources for this page

Verify at the official NPI Registry.