Individual provider Active NPI

Jessica Rose Skomp, FNP-C

  • Family Nurse Practitioner
  • Holyoke, CO
National Provider Identifier
1841667730
Registry record updated Aug 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
C-APN.0000403-C-NP Issued in CO
Practice address
1001 E Johnson St
Holyoke, CO 80734-1854
Phone
(970) 854-2500
NPI assigned
Aug 26, 2015
Last updated
Aug 26, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2015

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 C-APN.0000403-C-NP CO Primary

Addresses

Primary practice location

1001 E Johnson St
Holyoke, CO 80734-1854

Mailing address

73698 314 Ave
Lamar, NE 69023-2037
Phone (308) 883-3020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20161115000054 CO Practitioner - Nurse Practitioner 7810276870 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
East Phillips County Hospital DistrictGroup PAC ID 9638161615, shared by 5 NPIs, 17 clinicians

Practice addresses (Care Compare)

1001 E Johnson St
Holyoke, CO 80734-1854
Phone 97085422412130

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C-APN.0000403-C-NPCOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
East Phillips County Hospital District CurrentSince Sep 19, 2016 Accepting new patients
East Phillips County Hospital District CurrentSince Sep 19, 2016 Accepting new patients
East Phillips County Hospital District Current Accepting new patients
East Phillips County Hospital District Current Accepting new patients
East Phillips County Hospital District Past Accepting new patients
East Phillips County Hospital District Past Accepting new patients

Locations

1001 E Johnson St
Holyoke, CO 80734
Phone (970) 854-2241

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.

Hospital & facility affiliations 3

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": "1440547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440547200000",
    "number": "1841667730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73698 314 AVE",
            "city": "LAMAR",
            "state": "NE",
            "postal_code": "690232037",
            "telephone_number": "308-883-3020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 E JOHNSON ST",
            "city": "HOLYOKE",
            "state": "CO",
            "postal_code": "807341854",
            "telephone_number": "970-854-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKOMP",
        "first_name": "JESSICA",
        "middle_name": "ROSE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-26",
        "last_updated": "2015-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "C-APN.0000403-C-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holyoke, CO

Sources for this page

Verify at the official NPI Registry.