Individual provider Active NPI

Alexandria Leigh Skyrud, FNP-C

  • Family Nurse Practitioner
  • Park River, ND
National Provider Identifier
1497591408
Registry record updated Jul 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
200256 Issued in ND
Practice address
115 Vivian St
Park River, ND 58270
Phone
(701) 284-7555
NPI assigned
Jul 8, 2024
Last updated
Jul 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2024

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 200256 ND Primary

Addresses

Primary practice location

115 Vivian St
Park River, ND 58270

Mailing address

115 Vivian St
Park River, ND 58270
Phone (701) 284-7555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND
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
I20240821004949 ND Practitioner - Nurse Practitioner 8921547910 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
P R Health CorporationGroup PAC ID 0840102760, shared by 3 NPIs, 8 clinicians

Practice addresses (Care Compare)

115 Vivian St W
Park River, ND 58270-4540
Phone (701) 284-7500

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
P R Health Corporation CurrentSince Jul 15, 2024 Accepting new patients
P R Health Corporation Current Accepting new patients

Organizations & group practices 2

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 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": "1720396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1497591408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 VIVIAN ST",
            "city": "PARK RIVER",
            "state": "ND",
            "postal_code": "58270",
            "telephone_number": "701-284-7555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 VIVIAN ST",
            "city": "PARK RIVER",
            "state": "ND",
            "postal_code": "58270",
            "telephone_number": "701-284-7555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKYRUD",
        "first_name": "ALEXANDRIA",
        "middle_name": "LEIGH",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-08",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ND",
            "license": "200256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Park River, ND

Sources for this page

Verify at the official NPI Registry.