Individual provider Active NPI

Kimberly B Skrzycki, FNP-C

  • Family Nurse Practitioner
  • Mechanicsville, VA
National Provider Identifier
1598233124
Registry record updated Nov 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024176885 Issued in VA
Practice address
6296 Mechanicsville Tpke
Mechanicsville, VA 23111-4577
Phone
(804) 459-8300
NPI assigned
Nov 13, 2018
Last updated
Nov 13, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2018

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 0024176885 VA Primary

Addresses

Primary practice location

6296 Mechanicsville Tpke
Mechanicsville, VA 23111-4577

Mailing address

5470 Green Top CT
Mechanicsville, VA 23111-4573
Phone (302) 388-4403

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NC, DC3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20190124003237 VA Practitioner - Nurse Practitioner 1557608890 Reassigns benefits to 2 organizations
I20221212002975 NC Practitioner - Nurse Practitioner 1557608890 Reassigns benefits to 1 organization
I20230224000593 DC Practitioner - Nurse Practitioner 1557608890 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northern Virginia Carenow Urgent Care LLCGroup PAC ID 4284902057, 55 clinicians

Practice addresses (Care Compare)

6296 Mechanicsville Tpke
Mechanicsville, VA 23111-4577
Phone (804) 459-8300

Merit-based Incentive Payment System (MIPS)

Final score
64.75 of 100Reported as group
Quality
55.37
Improvement activities
40
Cost
47.65

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024176885VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
True North Health Navigation LLC CurrentSince Sep 1, 2023 Accepting new patients
True North Health Navigation LLC CurrentSince Jul 21, 2022 Accepting new patients
Dispatchhealth, PC CurrentSince Nov 1, 2022 Accepting new patients
Dispatchhealth NV Wagner PC Past Accepting new patients
True North Health Navigation LLC Past Accepting new patients

Locations

3825 N Lafayette St
Denver, CO 80205
Phone (303) 505-1518

4220 Apex Hwy
Ste 160
Durham, NC 27713
Phone (919) 897-8784

8000 Westpark Dr
Ste 130
Mc Lean, VA 22102
Phone (702) 848-4443

7200 Glen Forest Dr
Ste 106
Richmond, VA 23226
Phone (804) 495-0053

1951 Kidwell Dr
Ste 101
Vienna, VA 22182
Phone (571) 348-4721

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1542067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542067200000",
    "number": "1598233124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5470 GREEN TOP CT",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231114573",
            "telephone_number": "302-388-4403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6296 MECHANICSVILLE TPKE",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231114577",
            "telephone_number": "804-459-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKRZYCKI",
        "first_name": "KIMBERLY",
        "middle_name": "B",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-13",
        "last_updated": "2018-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024176885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsville, VA

Sources for this page

Verify at the official NPI Registry.