Kristin Skelly, NP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

RN225032 Issued in MA

Practice address

84 State St
Boston, MA 02109-2202

Phone

(646) 876-8455

Fax

(833) 314-0246

NPI assigned

Jul 22, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in RI, MA2 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 2

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Prima Care, PCGroup PAC ID 2567356017, 222 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Saint Anne'S Hospital Hospital, Fall River, MA, CCN 220020

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kristin.skelly.1@25664.direct.athenahealth.com
• Direct secure messaging: kristin.skelly@prima.eclinicaldirectplus.com
• Direct secure messaging: kristin.skelly.1@22307.direct.athenahealth.com

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.

• Prima Care, PC

  • Clinic/Center
  • Fall River, MA
  • NPI 1265422596
  Medicare reassignment Care Compare group NPD
• University Gastroenterology, LLC

  • Gastroenterology Physician
  • Providence, RI
  • NPI 1386952612
  Medicare reassignment NPD
• Prima Care, PC

  • Orthopaedic Surgery Physician
  • Fall River, MA
  • NPI 1194587287
  NPD
• Granite State Gastrointestinal Consultants PLLC

  • Gastroenterology Physician
  • Londonderry, NH
  • NPI 1942214457
  NPD (past)
• Joseph D. Pianka, MD, Inc.

  • Gastroenterology Physician
  • Portsmouth, RI
  • NPI 1093886343
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Lifespan of Massachusetts - Fall River Inc

  • General Acute Care Hospital
  • Fall River, MA
  • NPI 1972330165
  Care Compare affiliation

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

{
    "created_epoch": "1469145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1639522816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 PARK AVE S STE 16389",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100031502",
            "telephone_number": "646-876-8455",
            "fax_number": "833-314-0246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 STATE ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021092202",
            "telephone_number": "646-876-8455",
            "fax_number": "833-314-0246"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "222 Jefferson Blvd",
            "address_purpose": "LOCATION",
            "city": "Warwick",
            "state": "RI",
            "postal_code": "028883847",
            "country_code": "US",
            "telephone_number": "646-876-8455",
            "fax_number": "833-314-0246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "211 E 7th St Ste 620",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787013218",
            "country_code": "US",
            "telephone_number": "646-876-8455",
            "fax_number": "833-314-0246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SKELLY",
        "first_name": "KRISTIN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-22",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "TPAN2755",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "RI",
            "license": "APRN01401",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "TPAN2755",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MA",
            "license": "RN225032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katelyn Skeels, MSN, ARPN, FNP-C
• Catherine Skefos, LCGC
• Natalie Skeiky, MD
• Michelle Skeldon, MS, CCC-SLP
• Christopher Lambert Skelly, PA-C
• Wendy Skelton, P.A.
• Lashanda Stephanie Skerritt, M.D.
• Megan Skerry
• Serena Skiffington, N.P.
• Skin Pathology Laboratory, Inc.

• Gerontology Nurse Practitioner in Boston, MA
• Providers in Boston, MA by specialty
• Gerontology Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2025; 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.

Verify at the official NPI Registry.