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MS. JENNIFER A SKRUCK PCC-S
NPI 1205024957
Counselor - Professional in Wooster, OH

Active since October 09, 2007PECOS EnrolledAccepts Medicare Assignment
365 RIFFEL RD STE B, WOOSTER, OH 44691(330) 345-3461(330) 345-3462 Get Directions Write a Review

NPPES record last updated: July 27, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ms. Jennifer A Skruck Pcc-s NPPES

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

MS. JENNIFER A SKRUCK PCC-S (NPI 1205024957) is an individual professional provider in Wooster, Ohio, licensed in Ohio (E0008479-S) and active in the NPI registry since October 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1205024957
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMS. JENNIFER A SKRUCKCredential: PCC-S
Location Address365 RIFFEL RD STE BWooster, OH 44691-8592
Mailing Address365 Riffel Rd Ste BWooster, OH 44691-8592 · (330) 345-3461 · Fax (330) 345-3462
Phone(330) 345-3461
Fax(330) 345-3462
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateOctober 9, 2007
Last NPPES UpdateJuly 27, 2017
✔ NPI 1205024957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in OH · E0008479-S
365 RIFFEL RD STE B, Wooster, OH 44691
Open in Google Maps ↗

Other Names 1

Former Name (1)Ms. Jennifer A Yates Pcc-s

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Jennifer A Skruck Pcc-s is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6800230020
PECOS Enrollment IDI20240215002965
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Jennifer Skruck reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Bloomington Medical Services LLC
2.3 mi
Internal Medicine
1761 BEALL AVE
Wooster, OH 44691
  • Reassigned Medicare billing, Ohio enrollment
  • 126 clinicians in this Medicare group
NPI 1528246683 (330) 263-8428
Cornerstone Psychological & Counseling Services Of Northeast Ohio
21 mi
Mental Health (Including Community Mental Health Center)
4018 MEDINA RD STE D
Medina, OH 44256
  • Reassigned Medicare billing, Ohio enrollment
  • 16 clinicians in this Medicare group
NPI 1144612300 (330) 722-4166

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Jennifer Skruck's NPI number?

The NPI number for Jennifer Skruck is 1205024957. It was assigned to this individual provider in the NPPES registry on October 9, 2007. The provider is also known as Ms. Jennifer A Yates Pcc-S.

Where is Jennifer Skruck located?

Jennifer Skruck practices at 365 Riffel Rd Ste B, Wooster, OH 44691. The listed phone number is (330) 345-3461.

What is Jennifer Skruck's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Jennifer Skruck enrolled in Medicare?

Yes. Jennifer Skruck is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Jennifer Skruck's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Skruck reassigns Medicare benefits to 2 organizations: Bloomington Medical Services LLC (Wooster, OH) and Cornerstone Psychological & Counseling Services Of Northeast Ohio (Medina, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jennifer Skruck's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jennifer Skruck accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 5 other insurers list Jennifer Skruck as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jennifer Skruck was last updated on July 27, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.