Individual provider Active NPI

Holly Skocny, FNP

  • Family Nurse Practitioner
  • Saint Joseph, MO
National Provider Identifier
1750837084
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2016005875 Issued in MO
Practice address
802 N Riverside Rd Ste 150
Saint Joseph, MO 64507-2508
Phone
(816) 271-4025
Fax
(816) 271-4026
NPI assigned
Aug 28, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

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 2016005875 MO Primary

Addresses

Primary practice location

802 N Riverside Rd Ste 150
Saint Joseph, MO 64507-2508

Mailing address

4912 N Wheeling Ave
Kansas City, MO 64119-3865
Phone (619) 228-3165

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20161110001743 MO Practitioner - Nurse Practitioner 6406135607 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heartland Regional Medical CenterGroup PAC ID 6709772767, 394 clinicians

Practice addresses (Care Compare)

5202 Faraon St
Suite a
Saint Joseph, MO 64506-3840
Phone (816) 271-1067

802 N Riverside Rd
160 Mosaic Life Care
Saint Joseph, MO 64507-2508
Phone (816) 271-6666

901 Heartland Rd
Saint Joseph, MO 64506-6201

Hospital & facility affiliations

  • Mosaic Life Care at St Joseph Hospital, Saint Joseph, MO, CCN 260006
  • Mosaic Medical Center - Maryville Hospital, Maryville, MO, CCN 261340
  • Mosaic Medical Center Albany Hospital, Albany, MO, CCN 261328
  • Hedrick Medical Center Hospital, Chillicothe, MO, CCN 261321

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2016005875MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Medical Center Association Inc CurrentSince Apr 29, 2025 Accepting new patients
Northwest Medical Center Association Inc CurrentSince Apr 29, 2025 Accepting new patients
Heartland Regional Medical Center CurrentSince Apr 29, 2025 Accepting new patients
Heartland Regional Medical Center Current Accepting new patients
Heartland Regional Medical Center CurrentSince Apr 29, 2025 Accepting new patients
Mosaic Medical Center - Maryville CurrentSince Apr 29, 2025 Accepting new patients
Mosaic Medical Center - Maryville Family CurrentSince Apr 29, 2025 Accepting new patients

Locations

705 N College St
Albany, MO 64402
Phone (660) 726-3941

2016 S Main St
Maryville, MO 64468
Phone (660) 562-2525

5202 Faraon St
Ste A
Saint Joseph, MO 64506
Phone (816) 271-1070

802 N Riverside Rd
Ste 150
Saint Joseph, MO 64507
Phone (816) 271-4025

901 Heartland Rd
Ste 2800
Saint Joseph, MO 64506
Phone (816) 271-1213

Organizations & group practices 7

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 4

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": "1472342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748822400000",
    "number": "1750837084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4912 N WHEELING AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641193865",
            "telephone_number": "619-228-3165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 N RIVERSIDE RD STE 150",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645072508",
            "telephone_number": "816-271-4025",
            "fax_number": "816-271-4026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKOCNY",
        "first_name": "HOLLY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-28",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2016005875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MO

Sources for this page

Verify at the official NPI Registry.