Individual provider Active NPI

Jacqueline Kerber

  • Family Nurse Practitioner
  • Mason, OH
National Provider Identifier
1295155984
Registry record updated Jun 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
COA.15725-NP Issued in OH
Practice address
5230 Kings Mills Rd
Mason, OH 45040-2319
Phone
(513) 981-5820
Fax
(513) 981-5829
NPI assigned
Apr 21, 2014
Last updated
Jun 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2023

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 COA.15725-NP OH Primary

Addresses

Primary practice location

5230 Kings Mills Rd
Mason, OH 45040-2319

Mailing address

5230 Kings Mills Rd
Mason, OH 45040-2319
Phone (513) 981-5820

Other practice location 1

4440 Red Bank Rd
Suite 110
Cincinnati, OH 45227-2176
Phone (513) 564-1366

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20140610002232 OH Practitioner - Nurse Practitioner 7810111986 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Health Physicians Cincinnati LLCGroup PAC ID 6709790892, 191 clinicians

Practice addresses (Care Compare)

4101 Edwards Rd
FL 2
Cincinnati, OH 45209-1678
Phone (513) 981-4646

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
COA.15725-NPOHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Cincinnati, LLC CurrentSince Jun 23, 2023 Accepting new patients
Mercy Health Physicians Cincinnati LLC CurrentSince Jun 23, 2023 Accepting new patients

Locations

1701 Mercy Health Pl
Cincinnati, OH 45237
Phone (513) 952-5000

2446 Kipling Ave
Cincinnati, OH 45239
Phone (513) 583-8500

4101 Edwards Rd
Fl 2
Cincinnati, OH 45209
Phone (513) 981-4646

5230 Kings Mills Rd
Mason, OH 45040
Phone (513) 229-7883

Interoperability endpoints

  • Direct secure messaging: jkerber42960@direct.bsmhealth.org

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

Hospital & facility affiliations 4

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": "1398038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686009600000",
    "number": "1295155984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5230 KINGS MILLS RD",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450402319",
            "telephone_number": "513-981-5820",
            "fax_number": "513-981-5829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5230 KINGS MILLS RD",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450402319",
            "telephone_number": "513-981-5820",
            "fax_number": "513-981-5829"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4440 Red Bank Rd",
            "address_2": "Suite 110",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452272176",
            "country_code": "US",
            "telephone_number": "513-564-1366",
            "fax_number": "513-564-1367",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KERBER",
        "first_name": "JACQUELINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-21",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.15725-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mason, OH

Sources for this page

Verify at the official NPI Registry.