Kerry Glen Jepsen, M.D.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

2018003871 Issued in MO

Practice address

100 Mercy Way
Joplin, MO 64804-4524

Phone

(417) 556-8757

NPI assigned

Jul 12, 2006

Last updated

Sep 22, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in ID, MO, IN, UT4 enrollments

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 4

Specialty

Orthopedic Surgery

Education

Uniformed Services Uhs Fe Hebert School of Med, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mercy Clinic Joplin LLCGroup PAC ID 0547300196, 288 clinicians

Bear Lake County Memorial HospitalGroup PAC ID 5395799860, shared by 8 NPIs, 31 clinicians

Hospital Medicine of Indiana PCGroup PAC ID 6901232842, 10 clinicians

Franklin County Medical CenterGroup PAC ID 8820909104, 25 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bear Lake Memorial Hospital Hospital, Montpelier, ID, CCN 131316
• Franklin County Medical Center Hospital, Preston, ID, CCN 131322
• Indiana University Health Ball Memorial Hospital Hospital, Muncie, IN, CCN 150089
• Mercy Hospital Joplin Hospital, Joplin, MO, CCN 260001

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kerry.jepsen.1@17373.direct.athenahealth.com
• Direct secure messaging: kjepsen620121@direct.ochin.org
• Direct secure messaging: kjepsen980112@directc.mercy.net

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.

• Franklin County Medical Center

  dba FCMC Specialty Clinic

  • Critical Access Hospital
  • Preston, ID
  • NPI 1548355811
  Medicare reassignment Care Compare group NPD
• Hospital Medicine of Indiana PC

  • Orthopaedic Surgery Physician
  • Muncie, IN
  • NPI 1225680705
  Medicare reassignment Care Compare group NPD
• Mercy Clinic Joplin LLC

  • Family Medicine Physician
  • Joplin, MO
  • NPI 1215264817
  Medicare reassignment Care Compare group
• Bear Lake County Memorial Hospital

  dba Bear Lake Internal Medicine

  • Internal Medicine Physician
  • Montpelier, ID
  • NPI 1174741441
  Medicare reassignment NPD
• Bear Lake County Memorial Hospital

  • Critical Access Hospital
  • Montpelier, ID
  • NPI 1336125533
  Medicare reassignment NPD
• Bear Lake County Memorial Hospital

  dba BLMH Bear Lake Clinic

  • Multi-Specialty Clinic/Center
  • Garden City, UT
  • NPI 1538916333

  Orthopaedic Surgery

  Medicare reassignment NPD
• Franklin County Medical Center

  dba Franklin County Medical Center Home Health and Hospice

  • Home Health Agency
  • Preston, ID
  • NPI 1437927431
  NPD
• Bear Lake County Memorial Hospital

  • Orthopaedic Surgery Physician
  • Montpelier, ID
  • NPI 1376871749
  NPD (past)
• Franklin County Medical Center

  dba FCMC Medical Clinic

  • Rural Health Clinic/Center
  • Preston, ID
  • NPI 1144663543
  NPD (past)

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

• Mercy Hospital Joplin

  • General Acute Care Hospital
  • Joplin, MO
  • NPI 1700112745
  Care Compare affiliation
• Bear Lake County Memorial Hospital

  • Critical Access Hospital
  • Montpelier, ID
  • NPI 1336125533
  Care Compare affiliation
• Franklin County Medical Center

  dba FCMC Specialty Clinic

  • Critical Access Hospital
  • Preston, ID
  • NPI 1548355811
  Care Compare affiliation
• Indiana University Health Ball Memorial Hospital, Inc.

  • General Acute Care Hospital
  • Muncie, IN
  • NPI 1225195340
  Care Compare affiliation

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632268800000",
    "number": "1326073537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 S 5TH ST",
            "city": "MONTPELIER",
            "state": "ID",
            "postal_code": "832541557",
            "telephone_number": "208-847-4354",
            "fax_number": "208-847-4425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MERCY WAY",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648044524",
            "telephone_number": "417-556-8757"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "164 S 5th St",
            "address_purpose": "LOCATION",
            "city": "Montpelier",
            "state": "ID",
            "postal_code": "832541557",
            "country_code": "US",
            "telephone_number": "208-847-4354",
            "fax_number": "208-847-4425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JEPSEN",
        "first_name": "KERRY",
        "middle_name": "GLEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MO",
            "license": "2018003871",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "UT",
            "license": "290836-1205",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Benjamin Jeffs, DO
• Carrie J Jenkins, MSN, APRN, FNP-BC
• Meredith Joann Jenkins, PA-C
• Robyn Lynn Jennings, COTA
• Hyeon Jeong
• Maddison Marann Jewsbury, PA-C
• Darwin David Selwyn Jeyaraj, MD
• Rebecca Divya Jeyaseelan
• Delainy Jimerson, RBT
• JMB Dental, LLC (Hometown Smiles Family Dentistry)

• Orthopaedic Surgery Physician in Joplin, MO
• Providers in Joplin, MO by specialty
• Orthopaedic Surgery Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.