Madeleine Skousen, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95016438 Issued in CA

Practice address

1900 19TH Ave # 5131
San Francisco, CA 94116-1250

Phone

(415) 664-1834

NPI assigned

Jan 16, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• Elite Medical Group PC

  • Multi-Specialty Clinic/Center
  • Corona, CA
  • NPI 1083233902
  NPD (past)
• Medtruly Health LLC

  • Family Medicine Physician
  • Virginia Beach, VA
  • NPI 1487221388
  NPD (past)

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

{
    "created_epoch": "1610755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632355200000",
    "number": "1336738053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 19TH AVE # 5131",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941161250",
            "telephone_number": "415-359-4224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 19TH AVE # 5131",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941161250",
            "telephone_number": "415-664-1834"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2255 Ygnacio Valley Rd Ste W",
            "address_purpose": "LOCATION",
            "city": "Walnut Creek",
            "state": "CA",
            "postal_code": "945983347",
            "country_code": "US",
            "telephone_number": "925-378-4884",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SKOUSEN",
        "first_name": "MADELEINE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-16",
        "last_updated": "2021-09-23",
        "certification_date": "2021-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95016438",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95016438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Igor Sklovskiy, D.C.
• Charles Edward Skomer, M.D.
• Val A Skorupko, DDS
• Tobi Skotnes
• Kevin Skotnicki, LCSW
• Matthew Skovgard, MD
• Alana Cory Toshiko Skovhus
• Jennifer Ann Skowlund, D.C.
• Jane Skoyen, PHD
• Henry Chang Skrehot

• Family Nurse Practitioner in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.