NPIMap

Individual provider Active NPI

Kerri I Neel, MS FNP

  • Nurse Practitioner
  • York, ME
National Provider Identifier
1023074424
Registry record updated Nov 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
041603 Issued in ME
Practice address
1 Brickyard LN Ste Ee
York, ME 03909-1681
Phone
(207) 305-0965
Fax
(207) 770-5800
NPI assigned
Apr 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 041603 ME Primary

Addresses

Primary practice location

1 Brickyard LN Ste Ee
York, ME 03909-1681

Mailing address

1 Brickyard LN Ste Ee
York, ME 03909-1681
Phone (207) 305-0965

Other identifiers 11

IdentifierTypeStateIssuer
500022131OtherRAILROAD MEDICARE
279710099OtherPRIMECARE MEDICAID
010467585OtherSTANDARD TAX ID
40Y003577ME01OtherNHANTHEM BCBS NEW HAMPSHIRE
010467585OtherMACHIGONNE
010467585OtherAETNA NONHMO
279710099MedicaidME
010467585OtherAETNA HMO
4178556OtherCIGNA HEALTHCARE
041369OtherANTHEM BCBS
P43830OtherHARVARD PILGRIM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050725000791 ME Practitioner - Nurse Practitioner 4880621580 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Village Family Health Care LLCGroup PAC ID 6406245844, 2 clinicians

Practice addresses (Care Compare)

1 Brickyard LN
Suite Ee
York, ME 03909-1681
Phone (207) 305-0965

Hospital & facility affiliations

  • York Hospital Hospital, York, ME, CCN 200020
  • Wentworth-Douglass Hospital Hospital, Dover, NH, CCN 300018
  • Mainehealth Maine Medical Center Hospital, Portland, ME, CCN 200009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
041603MEMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
York Hospital CurrentSince May 1, 2013 Accepting new patients
Village Family Health Care LLC CurrentSince Apr 27, 2021 Accepting new patients
Seacoast Pathology Inc Current Accepting new patients
York Family Practice PastSince Sep 8, 1998 Accepting new patients
York Hospital Past Accepting new patients

Locations

23 Wells St
North Berwick, ME 03906
Phone (207) 501-5300

15 Hospital Dr
York, ME 03909
Phone (207) 351-2478

127 Long Sands Rd
Ste 11
York, ME 03909
Phone (207) 361-3888

16 Hospital Dr
#201
York, ME 03909
Phone (207) 351-2478

1 Brickyard Ln
Ste Ee
York, ME 03909
Phone (207) 305-0965

16 Hospital Dr
Ste C
York, ME 03909
Phone (207) 351-3455

16 Hospital Dr
Ste 201
York, ME 03909
Phone (207) 363-8430

16 Hospital Dr
York, ME 03909
Phone (207) 351-3455

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JJDFCD/Endpoint/JJDFCD
  • FHIR API: https://fhir4.healow.com/fhir/r4/JJDFCD

Organizations & group practices 5

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.

Hospital & facility affiliations 39

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 39

NPI Registry JSON

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635984000000",
    "number": "1023074424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BRICKYARD LN STE EE",
            "city": "YORK",
            "state": "ME",
            "postal_code": "039091681",
            "telephone_number": "207-305-0965",
            "fax_number": "207-770-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BRICKYARD LN STE EE",
            "city": "YORK",
            "state": "ME",
            "postal_code": "039091681",
            "telephone_number": "207-305-0965",
            "fax_number": "207-770-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEEL",
        "first_name": "KERRI",
        "middle_name": "I",
        "credential": "MS  FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-25",
        "last_updated": "2021-11-04",
        "certification_date": "2021-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ME",
            "license": "041603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "500022131",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIMECARE MEDICAID",
            "identifier": "279710099",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STANDARD TAX ID",
            "identifier": "010467585",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS NEW HAMPSHIRE",
            "identifier": "40Y003577ME01",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MACHIGONNE",
            "identifier": "010467585",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA NONHMO",
            "identifier": "010467585",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "279710099",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "010467585",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTHCARE",
            "identifier": "4178556",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "041369",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "P43830",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in York, ME

Sources for this page

Verify at the official NPI Registry.