KRISTINA A SKINNER (FNP) – Family Nurse Practitioner, NPI 1255744611

KRISTINA A SKINNER (FNP) is a healthcare provider. based in Roseburg, Oregon. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 201403172NP-PP (OR). The NPI Number for KRISTINA A SKINNER (FNP) is 1255744611

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
KRISTINA A SKINNER (FNP)
NPI
1255744611
Phone
(541) 677-7200
Address
2570 NW EDENBOWER BLVD STE 100
Enumeration Date
3 June 2014
Last Update Date
23 October 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5416777200
Graduation Year
2014 (12 years ago)
PAC ID
7214155456
Group Practice PAC ID
9234397878
Professional Enrollment ID
I20140829000254
Address ID
OR974716214RO2570XBLVD401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

3,366 NURSE PRACTITIONER in OR

Provider Addresses for KRISTINA A SKINNER (FNP)

  • 2570 NW EDENBOWER BLVD STE 100

    ROSEBURG, OR 974716214

    Phone: (541) 677-7200

    Fax: (541) 229-0061

    Type: Mailing

  • 145 NE BROADWAY ST

    MYRTLE CREEK, OR 974579039

    Phone: (541) 863-3146

    Fax: (541) 863-3226

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 26 Open Payments records for all available years, with a total value of $525.

Total Amount is formed as General ($525) + Research ($0) + Ownership ($0) = $525.

Last reported payment date: 2024-11-05 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($146).

Total Amount

$525

General + Research + Ownership

Payments

26

Total payment records

General Amount

$525

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-05

Latest reported date

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: 2014-08-29

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
I20140829000254INurse PractitionerORTBD

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
81003Automated urinalysis test2219$0
80305Testing for presence of drug, read by direct observation2016$0
93246Heart rhythm recording of continous external ekg over 8-15 days1717$0
93248Heart rhythm review and interpretation of continous external ekg over 8-15 days1616$0
View full utilization report →

Insurance plans in this area (ZIP 97471)

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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: 9234397878View full group profile
NameSpecialtyState
Nurse PractitionerOR
Family PracticeOR
Nurse PractitionerOR
Family PracticeOR
Physician AssistantOR
Internal Medicine, Pediatric Medicine, EndocrinologyOR
Physician AssistantOR
Hospitalist, Internal Medicine, Internal Medicine, HospitalistOR
Mental Health CounselorOR
Family PracticeOR

Reviews

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Frequently asked questions

Can I use this page to confirm KRISTINA A SKINNER (FNP)'s NPI?
Yes. KRISTINA A SKINNER (FNP) is listed with NPI 1255744611 in the public NPI dataset.
Does CMS list KRISTINA A SKINNER (FNP) as active?
Yes — KRISTINA A SKINNER (FNP) is active in the NPI listing used on this page.
What is KRISTINA A SKINNER (FNP)'s specialty?
The listing groups KRISTINA A SKINNER (FNP) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What address line appears for KRISTINA A SKINNER (FNP)?
KRISTINA A SKINNER (FNP)'s geographic hint is Roseburg, Oregon in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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