Individual provider Active NPI

Skyler Riston Koontz, FNP

  • Family Nurse Practitioner
  • Charlottesville, VA
National Provider Identifier
1366118648
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024182346 Issued in VA
Practice address
260 Pantops Ctr
Charlottesville, VA 22911-8601
Phone
(434) 244-3027
NPI assigned
Aug 18, 2021
Last updated
Feb 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 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 0024182346 VA Primary

Addresses

Primary practice location

260 Pantops Ctr
Charlottesville, VA 22911-8601

Mailing address

1165 Sunset Avenue Ext
Charlottesville, VA 22903-7861
Phone (540) 937-0385

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20210907001201 VA Practitioner - Nurse Practitioner 9830595487 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bon Secours Urgent Care LLCGroup PAC ID 6709256142, 125 clinicians

Practice addresses (Care Compare)

1149 Seminole TRL
Charlottesville, VA 22901-2897
Phone (434) 978-3998

260 Pantops Ctr
Charlottesville, VA 22911-8601
Phone (434) 244-3027

9851 Brook Rd
Glen Allen, VA 23059-4559
Phone (804) 893-8702

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024182346VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medexpress Urgent Care, PC - Virginia Family Medicine Current Accepting new patients
Medexpress Urgent Care, PC - Virginia Family Medicine CurrentSince Aug 31, 2021 Accepting new patients
Bon Secours Urgent Care LLC CurrentSince Mar 9, 2025 Accepting new patients
Medexpress Urgent Care, PC - Virginia CurrentSince Aug 31, 2021 Accepting new patients

Locations

260 Pantops Ctr
Charlottesville, VA 22911
Phone (434) 244-3027

9851 Brook Rd
Glen Allen, VA 23059
Phone (804) 893-8702

1336 W Main St
Salem, VA 24153
Phone (540) 389-0374

423 Fortress Blvd
Morgantown, WV 26508
Phone (844) 852-9510

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1629244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1366118648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1165 SUNSET AVENUE EXT",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229037861",
            "telephone_number": "540-937-0385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 PANTOPS CTR",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229118601",
            "telephone_number": "434-244-3027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOONTZ",
        "first_name": "SKYLER",
        "middle_name": "RISTON",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-18",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024182346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

Verify at the official NPI Registry.