Individual provider Active NPI

Jaime Elizabeth Skrekas, NP

  • Family Nurse Practitioner
  • Danvers, MA
National Provider Identifier
1255603197
Registry record updated Dec 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2264693 Issued in MA
Practice address
66 Maple St
Danvers, MA 01923-2843
Phone
(844) 662-3288
Fax
(978) 218-8199
NPI assigned
Feb 8, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2025

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 RN2264693 MA Primary

Addresses

Primary practice location

66 Maple St
Danvers, MA 01923-2843

Mailing address

66 Maple St
Danvers, MA 01923-2843
Phone (844) 662-3288

Other practice location 1

544 Merrimack Ave
Dracut, MA 01826-5831
Phone (844) 662-3288

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150113001394 MA Practitioner - Nurse Practitioner 0143544569 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
South Boston Community Health Center CurrentSince May 1, 2014 Accepting new patients

Locations

409 W Broadway
South Boston, MA 02127
Phone (617) 269-7500

Interoperability endpoints

  • Direct secure messaging: jskrekas161028@direct.ochin.org

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1328659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767139200000",
    "number": "1255603197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 MAPLE ST",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019232843",
            "telephone_number": "844-662-3288",
            "fax_number": "978-218-8199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 MAPLE ST",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019232843",
            "telephone_number": "844-662-3288",
            "fax_number": "978-218-8199"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "544 Merrimack Ave",
            "address_purpose": "LOCATION",
            "city": "Dracut",
            "state": "MA",
            "postal_code": "018265831",
            "country_code": "US",
            "telephone_number": "844-662-3288",
            "fax_number": "978-218-8199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SKREKAS",
        "first_name": "JAIME",
        "middle_name": "ELIZABETH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-08",
        "last_updated": "2025-12-31",
        "certification_date": "2025-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2264693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danvers, MA

Sources for this page

Verify at the official NPI Registry.