CARLY D SKJERVEM
NPI 1740657451
Nurse Practitioner - Family in Kansas City, MO

Q: What is Carly Skjervem's NPI number?

The NPI number for Carly Skjervem is 1740657451. It was assigned to this individual provider in the NPPES registry on August 28, 2015. The provider is also known as Carly D Welch.

Q: What is Carly Skjervem's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Carly Skjervem was last updated on December 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since August 28, 2015PECOS Enrolled

85.29/100

CMS Quality Rating

2101 CHARLOTTE ST, KANSAS CITY, MO 64108(816) 404-7800(816) 404-6006 Get Directions Write a Review

NPPES record last updated: December 3, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 3, 2020, Dec 13, 2016 (2 updates tracked since 2016).

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About Carly D Skjervem NPPES

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

CARLY D SKJERVEM (NPI 1740657451) is an individual family provider in Kansas City, Missouri, licensed in Missouri (2016021952) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1740657451

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameCARLY D SKJERVEM

Location Address2101 CHARLOTTE STKansas City, MO 64108-2727

Mailing Address2101 Charlotte StKansas City, MO 64108-2727 · (816) 404-7800 · Fax (816) 404-6006

Phone(816) 404-7800

Fax(816) 404-6006

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateAugust 28, 2015

Last NPPES UpdateDecember 3, 20202 updates tracked since enumeration

NPPES CertifiedDecember 3, 2020

✔ NPI 1740657451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MO · 2016021952

2101 CHARLOTTE ST, Kansas City, MO 64108

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Other Names 1

Former Name (1)Carly D Welch

Other Identifiers 1

Medicaid420035712MO

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carly D Skjervem is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1658672415

PECOS Enrollment IDI20250910003598

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64108 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.82 typical visit price

range $55.29 – $168.52

Typical copayment $21.45 (range $13.82 – $42.13)

Most-billed visit code 99203

Established Patient

$97.82 typical visit price

range $17.60 – $137.20

Typical copayment $24.45 (range $4.40 – $34.30)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

85.29/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

87.76

Promoting Interoperability

100

Improvement Activities

Cost

46.54

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

6 suppliers13 claims13 services$15.02 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

6 suppliers14 claims36 services$1.62 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

4 suppliers13 claims16 services$11.00 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

5 suppliers44 claims47 services$32.64 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

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