Individual provider Active NPI

Jessica Anne Skrivanie, D.O.

  • Anesthesiology Physician
  • Niceville, FL
National Provider Identifier
1487854865
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
OS15086 Issued in FL
Practice address
HCA Florida Twin Cities Hospital
2190 Highwat 85 N
Niceville, FL 32578
Phone
(850) 678-4131
Fax
(850) 729-9515
NPI assigned
Jul 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X OS15086 FL Primary

Addresses

Primary practice location

HCA Florida Twin Cities Hospital
2190 Highwat 85 N
Niceville, FL 32578

Mailing address

216 Snug Harbour Dr
Shalimar, FL 32579-1260
Phone (540) 580-5991

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180329000079 FL Practitioner - Pain Management 3072781889 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Twin Cities Anesthesia Associates PLGroup PAC ID 5092954222, 5 clinicians

Practice addresses (Care Compare)

2190 Hwy 85 N
Niceville, FL 32578-1045
Phone (850) 678-4131

Hospital & facility affiliations

  • HCA Florida Twin Cities Hospital Hospital, Niceville, FL, CCN 100054

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS15086FLMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Physician Solutions of North Florida, LLC Anesthesiology CurrentSince Jan 26, 2019 Accepting new patients
Twin Cities Anesthesia Associates, PL Anesthesiology CurrentSince Nov 1, 2020 Accepting new patients
Anesthesia Physician Solutions of North Florida, LLC Anesthesiology Current Accepting new patients
Anesthesia Physician Solutions of North Florida, LLC Anesthesiology CurrentSince Jan 26, 2019 Accepting new patients

Locations

1000 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 374-9610

2190 Highway 85 N
Niceville, FL 32578
Phone (850) 678-4131

325 Cypress Pkwy
Poinciana, FL 34759
Phone (407) 530-2000

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 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": "1185148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1487854865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 SNUG HARBOUR DR",
            "city": "SHALIMAR",
            "state": "FL",
            "postal_code": "325791260",
            "telephone_number": "540-580-5991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HCA FLORIDA TWIN CITIES HOSPITAL",
            "address_2": "2190 HIGHWAT 85 N",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "32578",
            "telephone_number": "850-678-4131",
            "fax_number": "850-729-9515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKRIVANIE",
        "first_name": "JESSICA",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-23",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "OS15086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niceville, FL

Sources for this page

Verify at the official NPI Registry.