Carrie Leigh Kern, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

201995 Issued in OK

Practice address

11601 Montgomery Blvd NE
Albuquerque, NM 87111-2660

Phone

(505) 207-3421

Fax

(505) 702-8171

NPI assigned

Nov 7, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other names 1

• Carrie Leigh Johnson Former name

Medicare fee-for-service enrollment

Enrolled in OK, NM2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Duke City Urgent CareGroup PAC ID 3173848058, 35 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/27050/brand/1/csg/1/fhir/r4
• Direct secure messaging: carrie.kern.1@27050.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Duke City Urgent Care

  • Urgent Care Clinic/Center
  • Albuquerque, NM
  • NPI 1790185577
  Medicare reassignment Care Compare group NPD
• Mercy Oklahoma Ambulatory Services LLC

  • Urgent Care Clinic/Center
  • Moore, OK
  • NPI 1922509173
  Medicare reassignment NPD
• Val Verde Hospital Corporation

  • Rural Health Clinic/Center
  • Del Rio, TX
  • NPI 1093546590
  NPD
• Val Verde Hospital Corporation

  • Certified Registered Nurse Anesthetist
  • Del Rio, TX
  • NPI 1639239239
  NPD
• Val Verde Hospital Corporation

  • Rural Health Clinic/Center
  • Del Rio, TX
  • NPI 1891124640
  NPD
• McLeod Medical Centers of NM, Inc.

  • Family Medicine Physician
  • Cedar Crest, NM
  • NPI 1700393782
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1573084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687910400000",
    "number": "1013552637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 SW 119TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731703437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11601 MONTGOMERY BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871112660",
            "telephone_number": "505-207-3421",
            "fax_number": "505-702-8171"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2100 SW 119th St",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731703437",
            "country_code": "US",
            "telephone_number": "405-691-1041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KERN",
        "first_name": "CARRIE",
        "middle_name": "LEIGH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-07",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP142648",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "CNP-73109",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "201995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARRIE",
            "last_name": "JOHNSON",
            "middle_name": "LEIGH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brenda L Keppler
• Gerard J Kerbleski, DPM
• Matthew Kercher, MD
• Alicia D H Kerlinsky, DOM DOCTOR
• Daniel Kerlinsky, MD
• Joseph D Kern, M.D.
• Laura Kern, LCSW
• Leslie Kern, RN
• Terry Kern, PT
• Sharon Janice Kernen, PH.D.

• Family Nurse Practitioner in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Family Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.