Active NPI
Katherine J Skurski, DNP,FNP-BC,PMHNP-BC
- Family Nurse Practitioner
- Crest Hill, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2018089571
- 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, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2018089571 | IL | MD | Family Nurse Practitioner |
| 2023019838 | IL | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Town of Cicero | Current | Accepting new patients | |
| Elemental Care - Health & Wellness Center, LLC | Family | Current | 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
- 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.
-
- Family Nurse Practitioner
- Crest Hill, IL
- NPI 1568908739
-
- Public Health or Welfare Agency
- Cicero, IL
- NPI 1407005671
-
- Land Ambulance
- Cicero, IL
- NPI 1154337889
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Northwestern Medicine Central Dupage Hospital
- General Acute Care Hospital
- Winfield, IL
- NPI 1003864810
-
dba Northwestern Medicine Central Dupage Hospital
- Psychiatric Hospital Unit
- Winfield, IL
- NPI 1740230895
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; 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.
- 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.