Individual provider Active NPI

Donna Marie Kern, PAC

  • Physician Assistant
  • Bel Air, MD
National Provider Identifier
1255337747
Registry record updated Nov 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0000586 Issued in MD
Practice address
510 Upper Chesapeake Dr
S#518
Bel Air, MD 21014-4328
Phone
(443) 643-4530
Fax
(443) 643-4535
NPI assigned
Jun 21, 2005
Last updated
Nov 18, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C0000586 MD Primary

Addresses

Primary practice location

510 Upper Chesapeake Dr
S#518
Bel Air, MD 21014-4328

Mailing address

510 Upper Chesapeake Dr
S#518
Bel Air, MD 21014-4328
Phone (443) 643-4530

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20081031000384 MD Practitioner - Physician Assistant 6901965235 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Upper Chesapeake Womens Care, LLCGroup PAC ID 8628254356, 8 clinicians

Practice addresses (Care Compare)

510 Upper Chesapeake Dr
Suite 518
Bel Air, MD 21014-4332
Phone (443) 643-4530

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C0000586MDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Women's Care, L.L.C. PastSince May 1, 2000 Accepting new patients
Franklin Square Hospital Center, Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: dkern651691@direct.umm.edu

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479427200000",
    "number": "1255337747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 UPPER CHESAPEAKE DR",
            "address_2": "S#518",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144328",
            "telephone_number": "443-643-4530",
            "fax_number": "443-643-4535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 UPPER CHESAPEAKE DR",
            "address_2": "S#518",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144328",
            "telephone_number": "443-643-4530",
            "fax_number": "443-643-4535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERN",
        "first_name": "DONNA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-21",
        "last_updated": "2016-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0000586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bel Air, MD

Sources for this page

Verify at the official NPI Registry.