Kerri Danielle St. George, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1326 Issued in MA

Practice address

90 Carew St Unit B
Springfield, MA 01104-3405

Phone

(413) 707-6460

Fax

(413) 707-6440

NPI assigned

Aug 19, 2006

Last updated

Jul 17, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

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 1

Specialty

Physician Assistant

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Western Massachusetts Allergy LLCGroup PAC ID 3779958715, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baystate Medical Center Hospital, Springfield, MA, CCN 220077

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

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

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

• Western Massachusetts Allergy LLC

  • Allergy & Immunology Physician
  • Springfield, MA
  • NPI 1538863774
  Medicare reassignment Care Compare group
• Allergy and Immunology Associates of New England, LLC

  • Allergy & Immunology Physician
  • Florence, MA
  • NPI 1538574082
  Medicare reassignment

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

• Baystate Medical Center Inc

  dba Baystate Medical Center

  • General Acute Care Hospital
  • Springfield, MA
  • NPI 1487655064
  Care Compare affiliation
• Baystate Medical Center Inc

  dba Baystate Reference Laboratories

  • Clinical Medical Laboratory
  • Springfield, MA
  • NPI 1568488450

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1114031739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 CAREW ST UNIT B",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011043405",
            "telephone_number": "413-707-6460",
            "fax_number": "413-707-6440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 CAREW ST UNIT B",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011043405",
            "telephone_number": "413-707-6460",
            "fax_number": "413-707-6440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST. GEORGE",
        "first_name": "KERRI",
        "middle_name": "DANIELLE",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-19",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "1326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• SRC Springfield, Inc. (Wingate at Springfield Rehab. & Skilled Nsg. Residence)
• Aseesh Sreedharala, MD
• Harish Srinivasan, M.B.B.S.
• Julie P. St Amant, RRT
• Roger St Onge, DPT
• Deryk Richard St. Germain
• Jayson R. St. Jacques, M.D.
• Donna Marie St. John, MSW, LICSW
• St. Luke's Home
• Tina St. Onge

• Physician Assistant in Springfield, MA
• Providers in Springfield, MA by specialty
• Physician Assistant in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; 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.