NPIMap

Individual provider Active NPI

Katie Elizabeth Kerr

  • Family Nurse Practitioner
  • Ridgway, PA
National Provider Identifier
1235704701
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP023704 Issued in PA
Practice address
104 Metoxet St
Ridgway, PA 15853-1932
Phone
(814) 772-8122
Fax
(814) 772-7278
NPI assigned
May 26, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP023704 PA Primary

Addresses

Primary practice location

104 Metoxet St
Ridgway, PA 15853-1932

Mailing address

104 Metoxet St
Ridgway, PA 15853-1932
Phone (814) 335-9538

Other practice location 1

230 Hemlock Ave
Force, PA 15841-1007
Phone (814) 787-5131

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kekerr@phhealthcare.org Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20210723001324 PA Practitioner - Nurse Practitioner 8820491186 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dubois Regional Medical CenterGroup PAC ID 5890689715, 424 clinicians
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians

Practice addresses (Care Compare)

145 Hospital Ave
Suite 315
Du Bois, PA 15801-1465
Phone (814) 503-4305

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.6 of 100Reported as group
Promoting interoperability
96
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP023704PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dubois Regional Medical Center CurrentSince Jul 19, 2021 Accepting new patients
Dubois Regional Medical Center CurrentSince Jul 19, 2021 Accepting new patients
Dubois Regional Medical Center Past Accepting new patients

Locations

100 Hospital Ave
Dubois, PA 15801
Phone (814) 375-2040

104 Metoxet St
Ridgway, PA 15853
Phone (814) 788-5456

250 W Main St
Ridgway, PA 15853
Phone (814) 772-8122

Interoperability endpoints

  • Direct secure messaging: kekerr@1285.direct.myezyaccess.com

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.

Hospital & facility affiliations 33

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

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1621987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707696000000",
    "number": "1235704701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 METOXET ST",
            "city": "RIDGWAY",
            "state": "PA",
            "postal_code": "158531932",
            "telephone_number": "814-335-9538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 METOXET ST",
            "city": "RIDGWAY",
            "state": "PA",
            "postal_code": "158531932",
            "telephone_number": "814-772-8122",
            "fax_number": "814-772-7278"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "230 Hemlock Ave",
            "address_purpose": "LOCATION",
            "city": "Force",
            "state": "PA",
            "postal_code": "158411007",
            "country_code": "US",
            "telephone_number": "814-787-5131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KERR",
        "first_name": "KATIE",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-26",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP023704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kekerr@phhealthcare.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "230 Hemlock Ave",
            "city": "Force",
            "state": "PA",
            "country_code": "US",
            "postal_code": "158411007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ridgway, PA

Sources for this page

Verify at the official NPI Registry.