JEFFREY MICHAEL SKALICKY (CRNA) – Certified Registered Nurse Anesthetist, NPI 1487263349

JEFFREY MICHAEL SKALICKY (CRNA) is a healthcare provider. based in Park ridge, Illinois. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 041.497120 (IL). The NPI Number for JEFFREY MICHAEL SKALICKY (CRNA) is 1487263349

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
JEFFREY MICHAEL SKALICKY (CRNA)
NPI
1487263349
Phone
(847) 723-6522
Address
1775 Dempster St
Enumeration Date
27 July 2020
Last Update Date
26 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8477239454
Graduation Year
2011 (15 years ago)
PAC ID
4880004001
Group Practice PAC ID
7810800935
Professional Enrollment ID
I20201029000873
Address ID
IL600681143PA1775XSTXX300

Contacts

Secure Messaging
jskalicky326528@direct.myadvocateaurora.org
FHIR Endpoint
https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness95
Years active:5State licenses:2Other names

2,265 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in IL

Provider Addresses for JEFFREY MICHAEL SKALICKY (CRNA)

  • 1775 Dempster St

    Park Ridge, IL 600681143

    Phone: (847) 723-6522

    Type: Location

  • 4001 KINGSTON PIKE

    KNOXVILLE, TN 379195220

    Phone:

    Type: Mailing

  • 800 BIESTERFIELD RD

    ELK GROVE VILLAGE, IL 600073361

    Phone: (847) 437-5500

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $70.

Total Amount is formed as General ($70) + Research ($0) + Ownership ($0) = $70.

Last reported payment date: 2024-10-07 • Largest payer in this snapshot: Janssen Biotech, Inc. ($27).

Total Amount

$70

General + Research + Ownership

Payments

3

Total payment records

General Amount

$70

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-07

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-10-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20201029000873ICertified Registered Nurse Anesthetist (Crna)ILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
01922Anesthesia for x-ray or radiation therapy2826$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope2422$0
00811Anesthesia for other procedure on large bowel using an endoscope2020$0
00812Anesthesia for exam of colon using an endoscope1717$0
00790Anesthesia for other procedure on upper abdomen1212$0
View full utilization report →

Insurance plans in this area (ZIP 60068)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7810800935View full group profile

Reviews

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Frequently asked questions

Is there an official ID for JEFFREY MICHAEL SKALICKY (CRNA) in U.S. healthcare records?
The official identifier for JEFFREY MICHAEL SKALICKY (CRNA) is NPI 1487263349.
Is JEFFREY MICHAEL SKALICKY (CRNA) shown as active in public data?
Registry records indicate JEFFREY MICHAEL SKALICKY (CRNA) maintains an active NPI.
What expertise is attributed to JEFFREY MICHAEL SKALICKY (CRNA)?
JEFFREY MICHAEL SKALICKY (CRNA)'s specialty line reads Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What locale is associated with JEFFREY MICHAEL SKALICKY (CRNA)?
Directory geography for JEFFREY MICHAEL SKALICKY (CRNA) centers on Park Ridge, Illinois.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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