Kristin Skelly is a Gerontology Nurse Practitioner practicing in Boston, Massachusetts. The National Provider Identifier (NPI) is #1639522816, which was assigned on July 22, 2016, and the registration record was last updated on April 24, 2025. The practitioner's main practice location is at 84 State St, Boston, MA 02109-2202; the contact telephone number is 6468768455, and the fax number is 8333140246. The primary taxonomy of Kristin Skelly is Gerontology Nurse Practitioner (363LG0600X), with specialization in Gerontology. Kristin Skelly is licensed to practice in the state of Massachusetts (#RN225032).
| NPI | 1639522816 |
| Entity Type | Individual |
| Provider Name | KRISTIN SKELLY |
| Gender | Female |
| Credential | NP |
| Practice Address |
84 State St Boston MA 02109-2202 |
| Practice Telephone | 6468768455 |
| Practice Fax Number | 8333140246 |
| Mailing Address |
228 Park Ave S Ste 16389 New York NY 10003-1502 |
| Mailing Telephone | 6468768455 |
| Mailing Fax Number | 8333140246 |
| Certification Date | 2025-04-24 |
| Enumeration Date | 2016-07-22 |
| Last Update Date | 2025-04-24 |
| Is Sole Proprietor | N |
| PAC ID |
1355629486 Medicare Provider Enrollment and Chain/Ownership System (PECOS) Associate Control (PAC) ID |
| Full Name | KRISTIN SKELLY |
| Primary Specialty | NURSE PRACTITIONER |
| Organization Legal Name | PRIMA CARE, PC |
| Address |
289 Pleasant St Suite 501 Fall River MA 02721-3005 |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| Y | 363LG0600X | Nurse Practitioner | Gerontology | RN225032 | MA |
| Address | Telephone | Fax |
|---|---|---|
| 211 E 7th St Ste 620, Austin, TX 787013218 | 6468768455 | 8333140246 |
| 222 Jefferson Blvd, Warwick, RI 028883847 | 6468768455 | 8333140246 |
| Code | 363LG0600X |
| Taxonomy | Gerontology Nurse Practitioner |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Definition: Definition to come... |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Jaima Yojana Gonzalez Jimenez | 1065 Southern Blvd, Bronx, NY 10459-2417 | Gerontology Nurse Practitioner | 2025-08-27 |
| Alexandra Nicole Sanguily | 9949 S Oswego St Ste 200, Parker, CO 80134-3753 | Gerontology Nurse Practitioner | 2025-09-02 |
| Aurum LLC | 11696 W Gabrielle Ct, Boise, ID 83713-7812 | Gerontology Nurse Practitioner | 2025-08-27 |
| Jonathan C Estrada | 1801 N Oregon St, El Paso, TX 79902-3524 | Gerontology Nurse Practitioner | 2025-09-03 |
| Elizabeth Anne Porter | 2854 Dunbar Ave, Fort Collins, CO 80526-2266 | Gerontology Nurse Practitioner | 2025-08-26 |
| Alexandra Marie Rieger | 15 E Minnesota St Ste 107, Saint Joseph, MN 56374-4691 | Gerontology Nurse Practitioner | 2025-08-25 |
| Guidestar Eldercare - Pa | 311 E Pleasant Valley Blvd Fl 2, Altoona, PA 16602-5512 | Gerontology Nurse Practitioner | 2025-08-27 |
| Miranda Nicole Torres | 6830 Acacia Ave, Fontana, CA 92336-1531 | Gerontology Nurse Practitioner | 2025-09-04 |
| Donald Dean Hovander | 1409 University Dr Ste 105, Burlington, NC 27215-8787 | Gerontology Nurse Practitioner | 2025-08-27 |
| Erin Colleen Beck | 6101 Pine Ridge Rd, Naples, FL 34119-3900 | Gerontology Nurse Practitioner | 2025-09-02 |
| Find all providers with the same taxonomy | |||
| Street Address |
84 STATE ST |
| City | BOSTON |
| State | MA |
| Zip Code | 02109-2202 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Octave Behavioral, Pa | 84 State St, Boston, MA 02109-2202 | Psychologist | 2024-04-15 |
| Tarah Elizabeth Foley | 84 State St, Boston, MA 02109-2202 | Clinical Social Worker | 2022-10-14 |
| Wellspring Physician, P.C. - Ma | 84 State St, Boston, MA 02109-2202 | Allergy & Immunology Physician | 2017-02-13 |
| Justin David Studler | 84 State St Ste 650, Boston, MA 02109-2233 | Counseling Psychologist | 2024-06-26 |
| Arlie Graham Sterling Iv | 84 State St, Boston, MA 02109-2202 | Psychologist | 2014-10-15 |
| Meditelecare of Massachusetts, PLLC | 84 State St, Boston, MA 02109-2202 | Clinical Social Worker | 2021-04-09 |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Nicole Adach | 8 Hanover Ave Apt 3, Boston, MA 02109-1177 | Counselor | 2024-12-23 |
| Kind Body, Kind Mind LLC | 9 Battery St Apt 10, Boston, MA 02109-1048 | Registered Dietitian | 2025-06-11 |
| American Well Medical Group Ca, PC | 75 State St Ste 26, Boston, MA 02109-1827 | Multi-Specialty Clinic/Center | 2025-02-20 |
| Amwell Medical Group Ak, PC | 75 State St Ste 26, Boston, MA 02109-1827 | Multi-Specialty Clinic/Center | 2025-02-20 |
| Spencer L. Blackman | 53 State St, Boston, MA 02109-2820 | Family Medicine Physician | 2006-11-01 |
| Shiunru J. Chen · Shiunru Jessica Chen | 53 State St, Boston, MA 02109-2820 | Internal Medicine Physician | 2012-06-21 |
| Lee Orsky | 53 State St, Boston, MA 02109-2820 | Medical Physician Assistant | 2006-09-26 |
| Kathleen Napoli | 109 State St Ste 5, Boston, MA 02109-2906 | Family Nurse Practitioner | 2018-08-15 |
| Charlotte Robertshaw | 53 State St, Boston, MA 02109-2820 | Primary Care Nurse Practitioner | 2023-06-06 |
| Amanda Marte | 75 State St Ste 100, Boston, MA 02109-1826 | Clinical Social Worker | 2019-03-05 |
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| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Kristin E Devor · Kristin Elizabeth Bodkin | 1975 Guilford Rd, Upper Arlington, OH 43221-4300 | Family Medicine Physician | 2009-06-10 |
| Skelly Chiropractic and Wellness PLLC | 3819 4 Mile Rd N, Traverse City, MI 49686-9344 | Chiropractor | 2024-08-26 |
| Allie Skelly | 525 Metro Pl N Ste 300, Dublin, OH 43017-5320 | Registered Nurse | 2025-03-28 |
| Alyson Nicole Skelly | 55 Lake Ave N, Worcester, MA 01655-0002 | Student in an Organized Health Care Education/Training Program | 2025-04-07 |
| Jerome Rusceak Skelly | 1815 E Ireland Rd, South Bend, IN 46614-2845 | Geriatric Medicine (Internal Medicine) Physician | 2005-11-30 |
| Lauren Skelly | 6900 N Pecos Rd, North Las Vegas, NV 89086-4400 | Psychiatric/Mental Health Nurse Practitioner | 2025-03-22 |
| Ryan A Skelly | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | Internal Medicine Physician | 2025-03-29 |
| Michael Scott Skelly | 3819 4 Mile Rd N, Traverse City, MI 49686-9344 | Chiropractor | 2020-09-11 |
| Paul Enrique Skelly | 340 W 10th St, Indianapolis, IN 46202-3082 | Student in an Organized Health Care Education/Training Program | 2024-12-06 |
| Kristin Marie Lamb · Kristin Mccord | 1715 Bradford Ln Ste 140, Normal, IL 61761-4177 | Physical Therapist | 2008-03-14 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |