Kenneth L Ferrera, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

C0005630 Issued in MD

Practice address

995 Prince Frederick Blvd
Suite 204
Prince Frederick, MD 20678-3198

Phone

(410) 535-5855

Fax

(410) 535-6574

NPI assigned

Aug 25, 2015

Sex

Male

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 MD

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

University of Washington School of Medicine, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Anne Arundel Dermatology PAGroup PAC ID 6608761960, 126 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

95.75 of 100Reported as group

Promoting interoperability

95

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: kferrera@aadermaffiliates.emadirect.md

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.

• Anne Arundel Dermatology LLC

  • Dermatology Physician
  • Annapolis, MD
  • NPI 1063481703
  Medicare reassignment Care Compare group
• Anne Arundel Dermatology, P.a.

  • Specialist
  • Leonardtown, MD
  • NPI 1639909310
  NPD (past)
• Anne Arundel Dermatology, PA

  • Dermatology Physician
  • Prince Frederick, MD
  • NPI 1568292282
  NPD (past)

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

{
    "created_epoch": "1440460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1164899241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1306 CONCOURSE DR STE 201",
            "city": "LINTHICUM HEIGHTS",
            "state": "MD",
            "postal_code": "210901033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "995 PRINCE FREDERICK BLVD",
            "address_2": "SUITE 204",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206783198",
            "telephone_number": "410-535-5855",
            "fax_number": "410-535-6574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRERA",
        "first_name": "KENNETH",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-25",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MD",
            "license": "C0005630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jean Marie Fanba
• Joseph S. Fastow, M.D.
• Jennifer Faulkner
• Jonathan Kim Fears, MD
• Erica T. Ferges
• Deven J. Fetzek, PA-C
• Jennifer Fifield, LGPC
• Hannah Rose Filippelli, CRNP
• Finizio - Radiology Imaging Associates, PC
• First Class Ambulance Services LLC

• Medical Physician Assistant in Prince Frederick, MD
• Providers in Prince Frederick, MD by specialty
• Medical Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; 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.