Individual provider Active NPI

Kristen M Kerr, OD

  • Optometrist
  • Pittsburgh, PA
National Provider Identifier
1114992005
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000943 Issued in PA
Practice address
956 Perry Hwy
Pittsburgh, PA 15237
Phone
(412) 364-9969
Fax
(412) 364-9689
NPI assigned
Feb 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG000943 PA Primary

Addresses

Primary practice location

956 Perry Hwy
Pittsburgh, PA 15237

Mailing address

956 Perry Hwy
Pittsburgh, PA 15237
Phone (412) 364-9969

Other identifiers 2

IdentifierTypeStateIssuer
306665OtherUPMC
335077OtherBLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060503000562 PA Practitioner - Optometry 7719997865 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nicole D Bosak OD IncGroup PAC ID 9739241142, 2 clinicians

Practice addresses (Care Compare)

4960 William Flynn Hwy
Suite 16
Allison Park, PA 15101-2357
Phone (724) 443-5060

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG000943PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Nicole D Bosak OD Inc Optometrist CurrentSince Jul 11, 2012 Accepting new patients
DRS Perka McCauley & Celin Optometrist Past Accepting new patients
Katzen Medical Associates, PC Optometrist Past Accepting new patients

Locations

4960 William Flynn Hwy
Ste 16
Allison Park, PA 15101
Phone (724) 443-5060

Organizations & group practices 3

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": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1114992005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "956 PERRY HWY",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15237",
            "telephone_number": "412-364-9969",
            "fax_number": "412-364-9689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "956 PERRY HWY",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15237",
            "telephone_number": "412-364-9969",
            "fax_number": "412-364-9689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERR",
        "first_name": "KRISTEN",
        "middle_name": "M",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-22",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000943",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC",
            "identifier": "306665",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "335077",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.