Jessica Skutnik, F.N.P.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F335549 Issued in NY

Practice address

1676 Sunset Ave
Utica, NY 13502-5416

Phone

(315) 624-8100

Fax

(315) 624-8105

NPI assigned

Apr 5, 2010

Last updated

Mar 19, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Nurse Practitioner

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physician Mobile Medical Care PCGroup PAC ID 8426575325, 97 clinicians

Kidney and Hypertension Consultant, PLLCGroup PAC ID 7911991955, 5 clinicians

Mobile Physician Services PLLCGroup PAC ID 8325360290, 104 clinicians

Partners Medical Group PLLCGroup PAC ID 5092155937, 35 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wynn Hospital Hospital, Utica, NY, CCN 330044
• Oneida Health Hospital Hospital, Oneida, NY, CCN 330115
• Rome Memorial Hospital, Inc Hospital, Rome, NY, CCN 330215
• Community Memorial Hospital, Inc Hospital, Hamilton, NY, CCN 331316

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Mobile Physician Services PLLC

  • Family Medicine Physician
  • Buffalo, NY
  • NPI 1194132415
  Medicare reassignment Care Compare group NPD
• Partners Medical Group, PLLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Getzville, NY
  • NPI 1184305153
  Medicare reassignment Care Compare group NPD
• Physician Mobile Medical Care PC

  • Internal Medicine Physician
  • Buffalo, NY
  • NPI 1518765502
  Medicare reassignment Care Compare group NPD
• Kidney and Hypertension Consultant, PLLC

  • Nephrology Physician
  • Utica, NY
  • NPI 1699796623
  Medicare reassignment Care Compare group
• Utica Partners LLC

  dba Dialysis Center of Rome

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Rome, NY
  • NPI 1831788942
  NPD (past)

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

• Community Memorial Hospital

  • Internal Medicine Physician
  • Hamilton, NY
  • NPI 1932100393

  Hospital

  Care Compare affiliation
• Community Memorial Hospital

  • Critical Access Hospital
  • Hamilton, NY
  • NPI 1992707608
  Care Compare affiliation
• MVHS Inc

  dba Wynn Hospital

  • General Acute Care Hospital
  • Utica, NY
  • NPI 1205877172
  Care Compare affiliation
• Oneida Health Systems, Inc

  dba Oneida Healthcare Center

  • General Acute Care Hospital
  • Oneida, NY
  • NPI 1962408203
  Care Compare affiliation
• Rome Memorial Hospital

  dba Delta Medical

  • Internal Medicine Physician
  • Rome, NY
  • NPI 1700121894

  Hospital

  Care Compare affiliation
• Rome Memorial Hospital, Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Rome, NY
  • NPI 1306807193

  Hospital

  Care Compare affiliation
• Rome Memorial Hospital, Inc

  • Primary Care Clinic/Center
  • Boonville, NY
  • NPI 1336100767

  Hospital

  Care Compare affiliation
• Rome Memorial Hospital, Inc

  dba Regional Wound Care Center

  • Clinic/Center
  • Rome, NY
  • NPI 1356689004

  Hospital

  Care Compare affiliation
• Rome Memorial Hospital, Inc

  dba Camden Family Care

  • Primary Care Clinic/Center
  • Camden, NY
  • NPI 1891113965

  Hospital

  Care Compare affiliation
• Rome Memorial Hospital, Inc

  • Primary Care Clinic/Center
  • Rome, NY
  • NPI 1952362741

  Hospital

  Care Compare affiliation
• Rome Memorial Hospital, Inc.

  • General Acute Care Hospital
  • Rome, NY
  • NPI 1376546440
  Care Compare affiliation
• Rome Memorial Hospital, Inc.

  dba Chestnut Commons

  • Physical Therapy Clinic/Center
  • Rome, NY
  • NPI 1851489330

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1270425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552953600000",
    "number": "1871818732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 602",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134130602",
            "telephone_number": "315-624-8100",
            "fax_number": "315-624-8105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1676 SUNSET AVE",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135025416",
            "telephone_number": "315-624-8100",
            "fax_number": "315-624-8105"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1450 Champlin Ave",
            "address_purpose": "LOCATION",
            "city": "Utica",
            "state": "NY",
            "postal_code": "135023662",
            "country_code": "US",
            "telephone_number": "315-624-9000",
            "fax_number": "315-624-9003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SKUTNIK",
        "first_name": "JESSICA",
        "credential": "F.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-05",
        "last_updated": "2019-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F335549",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "550112",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01567362",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Courtney Sisti
• Lisa Sitterly, NP
• Katelyn Skiechs
• Bradley Sklar, M.D.
• Ryan Mathew Skowron, FNP
• Denise Slack
• Slavin, Jackson, & Burns DDS PLLC
• Mark R Slavin, D.D.S.
• Sleep Disorders Lab of Central New York, LLC
• Sleep Well Be Happy LLC

• Family Nurse Practitioner in Utica, NY
• Providers in Utica, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2019; 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.