Individual provider Active NPI

Katherine J Skurski, DNP,FNP-BC,PMHNP-BC

  • Family Nurse Practitioner
  • Crest Hill, IL
National Provider Identifier
1366903866
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2018089571 Issued in IL
Practice address
20660 Caton Farm Rd Unit F
Crest Hill, IL 60403-1201
Phone
(815) 714-5430
Fax
(815) 714-5369
NPI assigned
Mar 27, 2019
Last updated
Jul 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2018089571 IL Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2023019838 IL

Addresses

Primary practice location

20660 Caton Farm Rd Unit F
Crest Hill, IL 60403-1201

Mailing address

20660 Caton Farm Rd
Unit F
Crest Hill, IL 60403-1201
Phone (815) 714-5430

Other practice location 1

2250 S 49th Ave
Cicero, IL 60804-2460
Phone (708) 656-3600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20190522000072 IL Practitioner - Nurse Practitioner 8820331556 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Elemental Care - Health and Wellness Center, LLCGroup PAC ID 6709160211, 2 clinicians

Practice addresses (Care Compare)

20660 Caton Farm Rd
Unit F
Crest Hill, IL 60403-1201
Phone 8157145430105

2250 S 49TH Ave
Cicero, IL 60804-2460
Phone (708) 656-3600

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2018089571ILMDFamily Nurse Practitioner
2023019838ILMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Town of Cicero CurrentSince Mar 3, 2024 Accepting new patients
Elemental Care - Health & Wellness Center, LLC Family CurrentSince Apr 1, 2019 Accepting new patients
Town of Cicero Past Accepting new patients

Locations

2250 S 49th Ave
Cicero, IL 60804
Phone (708) 656-3600

4949 W Cermak Rd
Cicero, IL 60804

20660 Caton Farm Rd
Crest Hill, IL 60403
Phone (815) 714-5430

20660 Caton Farm Rd
Unit F
Crest Hill, IL 60403
Phone (815) 714-5430

Interoperability endpoints

  • Direct secure messaging: kskurskifnp@elementalcare.kareodirect.com

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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": "1553644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1366903866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20660 CATON FARM RD",
            "address_2": "UNIT F",
            "city": "CREST HILL",
            "state": "IL",
            "postal_code": "604031201",
            "telephone_number": "815-714-5430",
            "fax_number": "815-714-5369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20660 CATON FARM RD UNIT F",
            "city": "CREST HILL",
            "state": "IL",
            "postal_code": "604031201",
            "telephone_number": "815-714-5430",
            "fax_number": "815-714-5369"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2250 S 49th Ave",
            "address_purpose": "LOCATION",
            "city": "Cicero",
            "state": "IL",
            "postal_code": "608042460",
            "country_code": "US",
            "telephone_number": "708-656-3600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SKURSKI",
        "first_name": "KATHERINE",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DNP,FNP-BC,PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-27",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "2018089571",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "2023019838",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crest Hill, IL

Sources for this page

Verify at the official NPI Registry.