Active NPI
Jessie Araminta Kerr, M.D.
- Pediatrics Physician
- South Portland, ME
National Provider Identifier
1083974034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD24539
- Practice address
- 75 John Roberts Rd
Unit 8B
South Portland, ME 04106-0410 - Phone
- (207) 775-4151
- NPI assigned
- May 24, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD2014-0946 | NM | |
| Pediatrics Physician | 208000000X | MD24539 | ME | Primary |
Addresses
Primary practice location
75 John Roberts Rd
Unit 8B
South Portland, ME 04106-0410
Mailing address
75 John Roberts Rd
Unit 8B
South Portland, ME 04106
Phone (207) 775-4151
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD24539 | Other | ME | STATE LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 97.93 of 100
- Quality
- 83.31
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DHHS, PHS, Naihs, Shiprock Hospital | Current | Accepting new patients | |
| Maine Medical Partners | Pediatrics | Current | Accepting new patients |
| Maine Medical Partners | Current | Accepting new patients | |
| Maine Medical Partners | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| DHHS, PHS, Naihs, Shiprock Hospital | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Mainehealth | Pediatrics | Past | Accepting new patients |
Locations
5 Bucknam Rd
Ste 2A
Falmouth, ME 04105
Phone (207) 781-1775
22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179
1 Harnois Ave
Ste 1A
Westbrook, ME 04092
Phone (207) 662-1360
Interoperability endpoints
- jkerr387192@direct.mmc.mainehealth.org
Organizations & group practices 9
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.
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- NPI 1134144090
-
- Psychiatric Hospital
- Westbrook, ME
- NPI 1790265502
-
- Surgery Physician
- Scarborough, ME
- NPI 1346687167
-
- Neurological Surgery Physician
- Scarborough, ME
- NPI 1659351393
-
- Community/Retail Pharmacy
- Portland, ME
- NPI 1013868181
-
- Gynecologic Oncology Physician
- Scarborough, ME
- NPI 1851605455
-
- General Acute Care Hospital
- Teecnospos, AZ
- NPI 1477615789
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629072000000",
"number": "1083974034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 JOHN ROBERTS RD",
"address_2": "UNIT 8B",
"city": "SOUTH PORTLAND",
"state": "ME",
"postal_code": "04106",
"telephone_number": "207-775-4151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 JOHN ROBERTS RD",
"address_2": "UNIT 8B",
"city": "SOUTH PORTLAND",
"state": "ME",
"postal_code": "041060410",
"telephone_number": "207-775-4151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERR",
"first_name": "JESSIE",
"middle_name": "ARAMINTA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-05-24",
"last_updated": "2021-08-16",
"certification_date": "2021-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NM",
"license": "MD2014-0946",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "ME",
"license": "MD24539",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "MD24539",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}
Other providers in South Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2021; 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.