Kerri A Nowotny, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

C0005128 Issued in MD

Practice address

525 Glenburn Ave
Cambridge, MD 21613-1414

Phone

(410) 221-1400

NPI assigned

Oct 4, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kerri Alise Segaloff Former name

Medicare fee-for-service enrollment

Enrolled in MD, DC2 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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Genesis Eldercare Physician Services LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Salisbury, MD
  • NPI 1881635183
  Medicare reassignment NPD
• Genesis Eldercare Physician Services LLC

  • Internal Medicine Physician
  • Arlington, VA
  • NPI 1588690135

  DC

  Medicare reassignment NPD
• Alignmed Partners, PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Gardendale, AL
  • NPI 1881109452

  DC, MD

  Medicare reassignment
• Genesis Eldercare Physician Services LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Towson, MD
  • NPI 1699280511
  NPD

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1184719254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 944",
            "city": "LAUREL",
            "state": "DE",
            "postal_code": "199560944",
            "telephone_number": "631-513-6955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 GLENBURN AVE",
            "city": "CAMBRIDGE",
            "state": "MD",
            "postal_code": "216131414",
            "telephone_number": "410-221-1400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9715 Healthway Dr",
            "address_purpose": "LOCATION",
            "city": "Berlin",
            "state": "MD",
            "postal_code": "218113500",
            "country_code": "US",
            "telephone_number": "410-641-4400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOWOTNY",
        "first_name": "KERRI",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0005128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KERRI",
            "last_name": "SEGALOFF",
            "middle_name": "ALISE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jay Nave, D.D.S.
• Eugene J Newmier, DO
• Relindis Sirri Ngwa, RPH
• Andrew Joseph Nielsen
• Noble Medlab L.L.C.
• Nu Pathway Healthcare and Wellness LLC
• Leona Odemena, DPM
• Nancy Frederick Oliver, MSN, CRNP-F
• Katherine Amelia Orr, MS, LCGC
• Jovonne Chandler Osborne, CRNP

• Physician Assistant in Cambridge, MD
• Providers in Cambridge, MD by specialty
• Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.