Carrie Anne Kerby, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN.CNP.17936 Issued in OH

Practice address

550 Hallmark Dr
Eaton, OH 45320-8648

Phone

(937) 456-4181

Fax

(937) 456-4649

NPI assigned

Aug 8, 2015

Last updated

May 14, 2021By 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 2

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OH, IN2 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, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Reid Physician Associates IncGroup PAC ID 6406910769, 427 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Fountain Park Home Care, LLC Home health agency, Van Wert, OH, CCN 368142
• Reid Home Health Home health agency, Eaton, OH, CCN 367254
• Reid Health Hospital, Richmond, IN, CCN 150048
• Kettering Health Dayton Hospital, Dayton, OH, CCN 360133
• Miami Valley Hospital Hospital, Dayton, OH, CCN 360051
• Kettering Health Miamisburg Hospital, Miamisburg, OH, CCN 360239
• Wayne Hospital Hospital, Greenville, OH, CCN 361335

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ckerby301086@reidhealth.direct-ci.com

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.

• Reid Physician Associates, Inc.

  dba Reid Health Physician Associates

  • Internal Medicine Physician
  • Richmond, IN
  • NPI 1265689111

  OH

  Medicare reassignment Care Compare group NPD
• Reid Physician Associates, Inc

  dba Reid Health X-Ray Winchester

  • Radiology Clinic/Center
  • Winchester, IN
  • NPI 1417653221
  NPD

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

• Dayton Osteopathic Hospital

  dba Kettering Health Dayton

  • General Acute Care Hospital
  • Dayton, OH
  • NPI 1053339507
  Care Compare affiliation
• Fountain Park Home Care, LLC

  • Home Health Agency
  • Van Wert, OH
  • NPI 1871650994
  Care Compare affiliation
• Kettering Medical Center

  dba Kettering Health Miamisburg

  • General Acute Care Hospital
  • Miamisburg, OH
  • NPI 1316966518
  Care Compare affiliation
• Miami Valley Hospital

  • General Acute Care Hospital
  • Dayton, OH
  • NPI 1073688354
  Care Compare affiliation
• Reid Anc Home Care Services LLC

  dba Reid Home Health

  • Home Health Agency
  • Eaton, OH
  • NPI 1285286112
  Care Compare affiliation
• Wayne Hospital Company

  dba Wayne Healthcare

  • Critical Access Hospital
  • Greenville, OH
  • NPI 1184621161
  Care Compare affiliation
• Reid Hospital & Health Care Services, Inc

  dba Reid Health

  • General Acute Care Hospital
  • Richmond, IN
  • NPI 1063457380
  Care Compare affiliation

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

{
    "created_epoch": "1438992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620950400000",
    "number": "1114303559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 REID PARKWAY",
            "address_2": "MEDICAL STAFF SERVICE",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "47374",
            "telephone_number": "765-935-5331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 HALLMARK DR",
            "city": "EATON",
            "state": "OH",
            "postal_code": "453208648",
            "telephone_number": "937-456-4181",
            "fax_number": "937-456-4649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERBY",
        "first_name": "CARRIE",
        "middle_name": "ANNE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-08",
        "last_updated": "2021-05-14",
        "certification_date": "2021-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71007000A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.17936",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0141383",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000951992",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ckerby301086@ReidHealth.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "Reid Physician Associates, Inc.",
            "address_1": "550 Hallmark Dr",
            "city": "Eaton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "453208648",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tracy Nicole Jones
• Alyssa Lee Joyce
• Kathleen Judy, MS, LSW, LPCC
• KD Hofmann Eye Care Professionals Inc. (Miami Valley Vision Care)
• Jacob R Keller, LPCC
• Kettering Medical Center (Kettering Health Network Preble Health Center)
• Kesla B Klingler
• Brenna Kluesener
• Elizabeth Kniesly
• Thomas J Knobbe, PH.D.

• Family Nurse Practitioner in Eaton, OH
• Providers in Eaton, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.

Verify at the official NPI Registry.