Jennie Mae Skursky, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

15201 Shady Grove Rd Ste 103
Rockville, MD 20850-3217

Phone

(240) 261-6437

Fax

(240) 912-4173

NPI assigned

Aug 10, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Anderson Clinic LLC

  • Orthopaedic Surgery Physician
  • Arlington, VA
  • NPI 1568488799

  DC, Physician Assistant

  Medicare reassignment NPD
• Anderson Clinic LLC

  • Orthopaedic Surgery Physician
  • Oxon Hill, MD
  • NPI 1205666435
  NPD

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

{
    "created_epoch": "1691625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1316620784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10301 DEMOCRACY LN STE 203",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302545",
            "telephone_number": "571-407-7816",
            "fax_number": "703-223-5042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15201 SHADY GROVE RD STE 103",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503217",
            "telephone_number": "240-261-6437",
            "fax_number": "240-912-4173"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10301 Democracy Ln Ste 203",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220302545",
            "country_code": "US",
            "telephone_number": "571-407-7816",
            "fax_number": "703-223-5042",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SKURSKY",
        "first_name": "JENNIE",
        "middle_name": "MAE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-10",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raelene W Skerda, RPH
• Kathleen Ellen Skillin, PA-C
• Timothy Skillin
• Daleita Skinner
• Dylan Skinner
• Lexus Slade
• Peter Slade
• Sabrina De Conti Sladek, DPT
• Dallas Slapp
• Meagan Slate, MD

• Physician Assistant in Rockville, MD
• Providers in Rockville, MD by specialty
• Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.