KRISTA K SKJERVEM PAC
NPI 1881974947
Physician Assistant - Medical in Madison, WI

Active since August 22, 2011PECOS EnrolledAccepts Medicare Assignment
77.43/100
CMS Quality Rating
202 S PARK ST, MADISON, WI 53715(608) 417-6000 Get Directions Write a Review

NPPES record last updated: December 8, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Krista K Skjervem Pac NPPES

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

KRISTA K SKJERVEM PAC (NPI 1881974947) is an individual medical provider in Madison, Wisconsin, licensed in Wisconsin (2828-23) and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS, is affiliated with University Of Wi Hospitals & Clinics Authority, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1881974947
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameKRISTA K SKJERVEMCredential: PAC
Location Address202 S PARK STMadison, WI 53715-1507
Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531 · Fax (414) 805-6851
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateAugust 22, 2011
Last NPPES UpdateDecember 8, 2014
NPI 1881974947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in WI · 2828-23
Also ListedPhysician AssistantTaxonomy 363A00000X · License 2828 (WI)
202 S PARK ST, Madison, WI 53715

Other Names 1

Former Name (1)Krista K Ericson Pac

Other Identifiers 3

Medicaid1881974947WI
Medicare PIN680861050WI
Medicare PIN736012273WI

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Krista K Skjervem Pac 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 ID8921279159
PECOS Enrollment IDI20110920000771
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of Wi Hospitals & Clinics Authority

Acute Care Hospitals · Madison, WI
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number520098
Location600 Highland AvenueMadison, WI 53792 · Dane County
Emergency services

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.

77.43/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.83
Promoting Interoperability77
Improvement Activities40
Cost62.12

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.

Nurse Practitioner
202 S PARK ST
MADISON, WI 53715
Nurse Practitioner (Neonatal, Critical Care)
202 S PARK ST
MADISON, WI 53715
Registered Nurse
202 S PARK ST
MADISON, WI 53715
Nurse Practitioner (Neonatal, Critical Care)
202 S PARK ST
MADISON, WI 53715
Physician Assistant (Medical)
202 S PARK ST, MERITER ATRIUM
MADISON, WI 53715
Anesthesiology
202 S PARK ST, 4 TOWER
MADISON, WI 53715
Physical Therapist
202 S PARK ST
MADISON, WI 53715
Internal Medicine (Critical Care Medicine)
202 S PARK ST
MADISON, WI 53715

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 Krista Skjervem's NPI number?

The NPI number for Krista Skjervem is 1881974947. It was assigned to this individual provider in the NPPES registry on August 22, 2011. The provider is also known as Krista K Ericson Pac.

Where is Krista Skjervem located?

Krista Skjervem practices at 202 S Park St, Madison, WI 53715. The listed phone number is (608) 417-6000.

What is Krista Skjervem's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Krista Skjervem enrolled in Medicare?

Yes. Krista Skjervem 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.

What insurance does Krista Skjervem accept?

Health plans from Group Health Cooperative-SCW list Krista Skjervem 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.

Is Krista Skjervem affiliated with any hospitals?

According to CMS data, Krista Skjervem is affiliated with University Of Wi Hospitals & Clinics Authority.

When was this NPI record last updated?

The NPPES record for Krista Skjervem was last updated on December 8, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.