NPIMap

Individual provider Active NPI

Kristina Karin Skalski, NP-C

  • Family Nurse Practitioner
  • Corvallis, OR
National Provider Identifier
1902255748
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
FNP10044260 Issued in OR
Practice address
3615 NW Samaritan Dr Ste 201
Corvallis, OR 97330-3771
Phone
(541) 768-5930
NPI assigned
Jun 10, 2016
Last updated
Sep 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X C-APN.0101422-C-NP CO
Family Nurse Practitioner 363LF0000X FNP10044260 OR Primary
Family Nurse Practitioner 363LF0000X AP131095 TX
Family Nurse Practitioner 363LF0000X 5015788 NC

Addresses

Primary practice location

3615 NW Samaritan Dr Ste 201
Corvallis, OR 97330-3771

Mailing address

PO Box 1189
Corvallis, OR 97339-1189

Other practice location 1

450 W Medical Center Blvd
Ste 600
Webster, TX 77598-4234
Phone (281) 332-4596

Other practice location 2

204 Airport Rd
Kinston, NC 28504-8814
Phone (252) 775-5999

Other practice location 3

2500 Rocky Mountain Ave Ste 350
Loveland, CO 80538-9004
Phone (970) 829-5535

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address kskalski324551@samhealth.direct-ci.com
Direct Messaging Address kskalski836489@direct.UNC.nchie.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, OR2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240109001044 CO Practitioner - Nurse Practitioner 2567742794 Reassigns benefits to 1 organization
I20250723000952 OR Practitioner - Nurse Practitioner 2567742794 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

815 NW 9TH St
Suite 215
Corvallis, OR 97330-6173

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
FNP10044260ORMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Samaritan Pacific Health Services, Inc CurrentSince Jan 24, 2026 Accepting new patients
Mid-Valley Healthcare Inc CurrentSince Jan 24, 2026 Accepting new patients
Poudre Valley Medical Group, LLC Current Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Feb 5, 2024 Accepting new patients
Good Samaritan Hospital Corvallis CurrentSince Aug 1, 2025 Accepting new patients
Samaritan North Lincoln Hospital CurrentSince Jan 24, 2026 Accepting new patients
Mid-Valley Healthcare, Inc. CurrentSince Jan 24, 2026 Accepting new patients
Samaritan Pacific Health Services Inc CurrentSince Jan 24, 2026 Accepting new patients
Good Samaritan Hospital Corvallis CurrentSince Aug 1, 2025 Accepting new patients
Mid-Valley Healthcare Inc CurrentSince Jan 24, 2026 Accepting new patients
Samaritan North Lincoln Hospital CurrentSince Jan 24, 2026 Accepting new patients
Samaritan North Lincoln Hospital CurrentSince Jan 24, 2026 Accepting new patients
Good Samaritan Hospital Corvallis Current Accepting new patients
Samaritan Pacific Health Services, Inc. CurrentSince Jan 24, 2026 Accepting new patients

Locations

2500 Rocky Mountain Ave
Ste 100
Loveland, CO 80538
Phone (970) 624-1800

2500 Rocky Mountain Ave
Ste 350
Loveland, CO 80538
Phone (970) 482-2866

2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2412

3600 NW Samaritan Dr
Ste 227
Corvallis, OR 97330
Phone (541) 768-1261

3615 NW Samaritan Dr
Ste 201
Corvallis, OR 97330
Phone (541) 768-5930

815 NW 9th St
Ste 215
Corvallis, OR 97330
Phone (541) 768-1888

Interoperability endpoints

  • Direct secure messaging: kristina.skalski@hca9.eclinicaldirectplus.com
  • Direct secure messaging: kskalski836489@direct.unc.nchie.net

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 74

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

View all 74

NPI Registry JSON

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

{
    "created_epoch": "1465516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756944000000",
    "number": "1902255748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1189",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973391189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3615 NW SAMARITAN DR STE 201",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973303771",
            "telephone_number": "541-768-5930"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "450 W Medical Center Blvd",
            "address_2": "Ste 600",
            "address_purpose": "LOCATION",
            "city": "Webster",
            "state": "TX",
            "postal_code": "775984234",
            "country_code": "US",
            "telephone_number": "281-332-4596",
            "fax_number": "281-332-9610",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "204 Airport Rd",
            "address_purpose": "LOCATION",
            "city": "Kinston",
            "state": "NC",
            "postal_code": "285048814",
            "country_code": "US",
            "telephone_number": "252-775-5999",
            "fax_number": "252-208-1647",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2500 Rocky Mountain Ave Ste 350",
            "address_purpose": "LOCATION",
            "city": "Loveland",
            "state": "CO",
            "postal_code": "805389004",
            "country_code": "US",
            "telephone_number": "970-829-5535",
            "fax_number": "970-624-1892",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SKALSKI",
        "first_name": "KRISTINA",
        "middle_name": "KARIN",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-10",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "C-APN.0101422-C-NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "FNP10044260",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP131095",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5015788",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kskalski324551@samhealth.direct-ci.com",
            "affiliation": "N",
            "address_1": "3615 NW Samaritan Dr Ste 201",
            "city": "Corvallis",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973303771",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kskalski836489@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "204 Airport Rd",
            "city": "Kinston",
            "state": "NC",
            "country_code": "US",
            "postal_code": "285048814",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Corvallis, OR

Sources for this page

Verify at the official NPI Registry.