DR. KRISTEN SKONIECZNY DO
NPI 1164009163
Student in an Organized Health Care Education/Training Program in Bethesda, MD

Active since March 25, 2021PECOS Enrolled
10 CENTER DRIVE MSC 1201, BETHESDA, MD 20892(240) 858-3080(301) 402-1738 Get Directions Write a Review

NPPES record last updated: June 30, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 30, 2024, Mar 25, 2021 (2 updates tracked since 2021).

About Dr. Kristen Skonieczny Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KRISTEN SKONIECZNY DO (NPI 1164009163) is an individual student in an organized health care education/training program in Bethesda, Maryland and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Newark.

NPPES Registry Identity

NPI1164009163
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. KRISTEN SKONIECZNYCredential: DO
Location Address10 CENTER DRIVE MSC 1201Bethesda, MD 20892-2200
Mailing Address4755 Ogletown Stanton RdNewark, DE 19718-2200 · (302) 733-4503
Fax(301) 402-1738
Sole ProprietorYes
Enumeration DateMarch 25, 2021
Last NPPES UpdateJune 30, 20242 updates tracked since enumeration
NPPES CertifiedJune 30, 2024
NPI 1164009163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
10 CENTER DRIVE MSC 1201, Bethesda, MD 20892

Secondary Practice Location 1

Location 14755 Ogletown Stanton RdNewark, DE 19718-2200 · Phone (302) 733-4503

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Kristen Skonieczny Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist
10 CENTER DRIVE MSC 1201, CRC ROOM 3-3940
BETHESDA, MD 20892

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kristen Skonieczny's NPI number?

The NPI number for Kristen Skonieczny is 1164009163. It was assigned to this individual provider in the NPPES registry on March 25, 2021.

Where is Kristen Skonieczny located?

Kristen Skonieczny practices at 10 Center Drive Msc 1201, Bethesda, MD 20892. The listed phone number is (240) 858-3080.

What is Kristen Skonieczny's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kristen Skonieczny enrolled in Medicare?

Yes. Kristen Skonieczny is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kristen Skonieczny was last updated on June 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.