Jennie Mae Skursky, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

10301 Democracy LN Ste 203
Fairfax, VA 22030-2545

Phone

(571) 407-7816

Fax

(703) 223-5042

NPI assigned

Aug 10, 2023

Last updated

Oct 1, 2026By the provider in NPPES

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Anderson Clinic LLC

  dba Anderson Clinic Inc

  • Orthopaedic Surgery Physician
  • Arlington, VA
  • NPI 1568488799

  DC, Physician Assistant

  Medicare reassignment NPD
• Anderson Clinic LLC

  dba Anderson Clinic Inc

  • 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": "1790812800000",
    "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": "10301 DEMOCRACY LN STE 203",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302545",
            "telephone_number": "571-407-7816",
            "fax_number": "703-223-5042"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15201 Shady Grove Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Rockville",
            "state": "MD",
            "postal_code": "208503217",
            "country_code": "US",
            "telephone_number": "240-261-6437",
            "fax_number": "240-912-4173",
            "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": "2026-10-01",
        "certification_date": "2026-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Silvia Skirpan, RN
• Angela Skolnitsky, PT, DPT
• Margaret Williams Skopic
• Gabrielle Geneva Skorey, DPT, PT
• Gina Marie Skubick, PHARM D
• Sky Home Health Care LLC
• Christina Skyers, LPC
• James W Slack, MD
• Sabrina Marie Slack
• Nathan Louis Slade

• Physician Assistant in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2026; 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.