Individual provider Active NPI

Jane Kerr-Fernandez, MD

  • Obstetrics & Gynecology Physician
  • Haverhill, MA
National Provider Identifier
1295732279
Registry record updated Jun 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
151018 Issued in MA
Practice address
600 Primrose St Ste 202
Haverhill, MA 01830-2659
Phone
(978) 556-1000
Fax
(978) 556-0101
NPI assigned
Jul 5, 2005
Sex
Female
Sole proprietor
No

Organizations & group practices 4

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 1

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

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Connecticut School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Seacoast Affiliated Group Practice Inc 50 clinicians

Practice addresses (Care Compare)

255 Low St
Suite 101
Newburyport, MA 01950-3596
Phone (978) 556-0100

Hospital & facility affiliations

  • Anna Jaques Hospital Hospital, Newburyport, MA, CCN 220029

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040806000569 MA Practitioner - Obstetrics/Gynecology 3173595642 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
151018MAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Seacoast Affiliated Group Practice, Inc. CurrentSince Jul 1, 2004 Accepting new patients
Anna Jaques Hospital PastSince Jul 1, 2004 Accepting new patients
Newburyport Cardiovascular Associates, LLC PastSince Jul 1, 2004 Accepting new patients
River Valley Infectious Disease Specialists Inc. Past Accepting new patients

Locations

24 Morrill Pl
Amesbury, MA 01913
Phone (978) 388-5050

600 Primrose St
Ste 202
Haverhill, MA 01830
Phone (978) 556-0100

2 Water St
Haverhill, MA 01830
Phone (978) 372-1999

255 Low St
Ste 101
Newburyport, MA 01950
Phone (978) 255-4607

21 Highland Ave
Ste 5
Newburyport, MA 01950
Phone (978) 255-4217

25 Highland Ave
Newburyport, MA 01950
Phone (978) 258-4734

Interoperability endpoints

  • Direct secure messaging: jkerrfernandez253901@direct.bilh.masshiway.net

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 151018 MA Primary

Addresses

NPPES NPI Registry

Primary practice location

600 Primrose St Ste 202
Haverhill, MA 01830-2659

Mailing address

600 Primrose St
Ste 202
Haverhill, MA 01830-2659
Phone (978) 556-0100

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
1295732279OtherMEDICARE
3154734MedicaidMA

Other names 1

NPPES NPI Registry
  • Jane Kerr Former name

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
Direct Messaging Address jane.kerrfernandez@whcsagp.eclinicaldirectplus.com Direct Seacoast Affiliated Group Practice, Inc.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 9, 2021.

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623196800000",
    "number": "1295732279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 PRIMROSE ST",
            "address_2": "STE 202",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018302659",
            "telephone_number": "978-556-0100",
            "fax_number": "978-556-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 PRIMROSE ST STE 202",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018302659",
            "telephone_number": "978-556-1000",
            "fax_number": "978-556-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERR-FERNANDEZ",
        "first_name": "JANE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-05",
        "last_updated": "2021-06-09",
        "certification_date": "2021-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MA",
            "license": "151018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "1295732279",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3154734",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jane.kerrfernandez@whcsagp.eclinicaldirectplus.com",
            "affiliation": "Y",
            "endpointDescription": "SAGP Women's Healthcare eClinicalWorks",
            "affiliationName": "Seacoast Affiliated Group Practice, Inc.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "600 Primrose St Ste 202",
            "city": "Haverhill",
            "state": "MA",
            "country_code": "US",
            "postal_code": "018302659",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JANE",
            "last_name": "KERR",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Haverhill, MA

Sources for this page

Verify at the official NPI Registry.