Individual provider Active NPI

Paula Georgette Newman-Skomski, ARNP, FNP-C

  • Family Nurse Practitioner
  • Marysville, WA
National Provider Identifier
1578860821
Registry record updated Jul 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP60235892 Issued in WA
Practice address
6512 57TH Dr NE
Marysville, WA 98270-6130
Phone
(425) 220-0595
Fax
(866) 853-1965
NPI assigned
Feb 23, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Registered Nurse 163WE0003X RN 00082932 WA
Family Nurse Practitioner 363LF0000X AP60235892 WA Primary

Addresses

Primary practice location

6512 57TH Dr NE
Marysville, WA 98270-6130

Mailing address

6512 57TH Dr NE
Marysville, WA 98270-6130
Phone (425) 220-0595

Other names 1

  • Paula Georgette Karrenberg Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20111123000704 WA Practitioner - Nurse Practitioner 0446424675 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN 00082932WAMDEmergency Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services-Washington CurrentSince Sep 21, 2015 Accepting new patients
Providence Health & Services-Wa Current Accepting new patients
Providence Health & Services-Wa CurrentSince Sep 21, 2015 Accepting new patients
Optum Care Washington PLLC CurrentSince Apr 12, 2012 Accepting new patients
Optum Care Washington PLLC CurrentSince Apr 12, 2012 Accepting new patients

Locations

1321 Colby Ave
Ofc
Everett, WA 98201
Phone (425) 261-4076

1330 Rockefeller Ave
Everett, WA 98201
Phone (425) 258-3903

900 Pacific Ave
Fl 5
Everett, WA 98201
Phone (425) 258-7311

1509 California St
Everett, WA 98201
Phone (425) 258-7900

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1298419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311206400000",
    "number": "1578860821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6512 57TH DR NE",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982706130",
            "telephone_number": "425-220-0595",
            "fax_number": "866-853-1965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6512 57TH DR NE",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982706130",
            "telephone_number": "425-220-0595",
            "fax_number": "866-853-1965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWMAN-SKOMSKI",
        "first_name": "PAULA",
        "middle_name": "GEORGETTE",
        "credential": "ARNP, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-23",
        "last_updated": "2011-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "WA",
            "license": "RN 00082932",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60235892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAULA",
            "last_name": "KARRENBERG",
            "middle_name": "GEORGETTE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Marysville, WA

Sources for this page

Verify at the official NPI Registry.