Individual provider Active NPI

Jessie Araminta Kerr, M.D.

  • Pediatrics Physician
  • South Portland, ME
National Provider Identifier
1083974034
Registry record updated Aug 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD24539 Issued in ME
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

Updated by the provider on Aug 16, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
MD24539OtherMESTATE LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, ME2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150930000285 TX Practitioner - Pediatric Medicine 5890914477 Reassigns benefits to 1 organization
I20210907002602 ME Practitioner - Pediatric Medicine 5890914477 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
97.93 of 100Reported as apm
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

OrganizationSpecialtyStatusNew patients
DHHS, PHS, Naihs, Shiprock Hospital CurrentSince Aug 24, 2015 Accepting new patients
Maine Medical Partners Pediatrics Current Accepting new patients
Maine Medical Partners CurrentSince Sep 13, 2021 Accepting new patients
Maine Medical Partners CurrentSince Sep 13, 2021 Accepting new patients
Mainehealth Current Accepting new patients
DHHS, PHS, Naihs, Shiprock Hospital Current Accepting new patients
Mainehealth CurrentSince Sep 13, 2021 Accepting new patients
Mainehealth CurrentSince Sep 13, 2021 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.