NPIMap

Individual provider Active NPI

Mary R Kerr, MD

  • Family Medicine Physician
  • Nampa, ID
National Provider Identifier
1144244054
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M-13881 Issued in ID
Practice address
823 E Amity Ave
Nampa, ID 83686-1053
Phone
(208) 467-8428
Fax
(800) 934-4028
NPI assigned
Jul 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X M-13881 ID Primary

Addresses

Primary practice location

823 E Amity Ave
Nampa, ID 83686-1053

Mailing address

823 E Amity Ave
Nampa, ID 83686-1053
Phone (208) 467-8428

Other identifiers 1

IdentifierTypeStateIssuer
M13881OtherIDSTATE LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mary.kerr@sal.eclinicaldirectplus.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180118001670 ID Practitioner - Family Practice 4880695063 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Washington School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nnu Health IncGroup PAC ID 3072964238, 4 clinicians

Practice addresses (Care Compare)

823 E Amity Ave
Nampa, ID 83686-5800
Phone (208) 467-8428

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
M-13881IDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Idaho Health Partners LLC CurrentSince Feb 1, 2018 Accepting new patients
Nnu Health Inc. Family Medicine CurrentSince May 1, 2024 Accepting new patients

Locations

823 E Amity Ave
Nampa, ID 83686
Phone (208) 467-8428

9850 W St Lukes Dr
Ste 129
Nampa, ID 83687
Phone (208) 205-7600

623 S University Blvd
Nampa, ID 83686
Phone (208) 250-0836

215 E Hawaii Ave
Nampa, ID 83686
Phone (208) 463-3234

Interoperability endpoints

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

Organizations & group practices 2

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.

Hospital & facility affiliations 9

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

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770854400000",
    "number": "1144244054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "823 E AMITY AVE",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836861053",
            "telephone_number": "208-467-8428",
            "fax_number": "800-934-4028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 E AMITY AVE",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836861053",
            "telephone_number": "208-467-8428",
            "fax_number": "800-934-4028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERR",
        "first_name": "MARY",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "M-13881",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "M13881",
            "state": "ID"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mary.kerr@sal.eclinicaldirectplus.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "215 E Hawaii Ave",
            "city": "Nampa",
            "state": "ID",
            "country_code": "US",
            "postal_code": "836866011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Nampa, ID

Sources for this page

Verify at the official NPI Registry.