Individual provider Active NPI

Alexander Gregory Skomra, CRNA

  • Certified Registered Nurse Anesthetist
  • Jupiter, FL
National Provider Identifier
1346908845
Registry record updated Feb 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APRN11018223 Issued in FL
Practice address
1210 S Old Dixie Hwy
Jupiter, FL 33458-7205
Phone
(561) 263-2234
NPI assigned
Dec 1, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X APRN11018223 FL Primary

Addresses

Primary practice location

1210 S Old Dixie Hwy
Jupiter, FL 33458-7205

Mailing address

12791 Marsh Pointe Way
West Palm Beach, FL 33418-6991
Phone (561) 512-2374

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220304001399 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 8325432537 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jupiter Anesthesia Associates LLCGroup PAC ID 0547348211, 91 clinicians

Practice addresses (Care Compare)

1210 S Old Dixie Hwy
Jupiter, FL 33458-7205
Phone (954) 939-5000

Hospital & facility affiliations

  • Jupiter Medical Center Hospital, Jupiter, FL, CCN 100253

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Jupiter Anesthesia Associates LLC Single Specialty CurrentSince Dec 1, 2021 Accepting new patients
Bethesda Anesthesia Associates, Inc. Nurse Anesthetist, Certified Registered CurrentSince Mar 16, 2022 Accepting new patients
Jupiter Anesthesia Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2021 Accepting new patients
Bethesda Anesthesia Associates, Inc. Single Specialty Current Accepting new patients
Bethesda Anesthesia Associates, Inc. Nurse Anesthetist, Certified Registered CurrentSince Mar 16, 2022 Accepting new patients

Locations

10301 Hagen Ranch Rd
Ste 520
Boynton Beach, FL 33437
Phone (561) 374-5550

1210 S Old Dixie Hwy
Jupiter, FL 33458
Phone (561) 743-5073

Organizations & group practices 5

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 1

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

NPI Registry JSON

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

{
    "created_epoch": "1638316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645401600000",
    "number": "1346908845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12791 MARSH POINTE WAY",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334186991",
            "telephone_number": "561-512-2374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 S OLD DIXIE HWY",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334587205",
            "telephone_number": "561-263-2234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKOMRA",
        "first_name": "ALEXANDER",
        "middle_name": "GREGORY",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-12-01",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "APRN11018223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.