Individual provider Active NPI

Keira Erin Werner, APN

  • Adult Health Nurse Practitioner
  • East Orange, NJ
National Provider Identifier
1386486330
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
26NJ15029800 Issued in NJ
Practice address
613 Park Avenue
East Orange, NJ 07017
Phone
(866) 525-9018
Fax
(888) 412-1759
NPI assigned
Jun 11, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 26NJ15029800 NJ Primary

Addresses

Primary practice location

613 Park Avenue
East Orange, NJ 07017

Mailing address

613 Park Avenue
East Orange, NJ 07017
Phone (973) 672-8573

Other practice location 1

1 Robert Wood Johnson Pl
New Brunswick, NJ 08901-1928
Phone (732) 937-8560

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20241213003334 NJ Practitioner - Nurse Practitioner 9931635935 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Roseville Medical Society LLCGroup PAC ID 3072939255, 15 clinicians
Call to Care LLCGroup PAC ID 0547699514, 8 clinicians
Metropolitan Medical Group LLCGroup PAC ID 1759716590, 10 clinicians
Salerno Medical Associates, LLCGroup PAC ID 3678676434, 38 clinicians

Practice addresses (Care Compare)

346 Roseville Ave
Newark, NJ 07107-1722
Phone (973) 482-7245

523 Park Ave
Orange, NJ 07050-1703
Phone (973) 672-8573

570 Park Ave
East Orange, NJ 07017-1904
Phone (973) 672-2455

95 Bridge Plaza Dr
Manalapan, NJ 07726-1700
Phone (973) 672-8573

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Metropolitan Medical Group LLC CurrentSince Oct 10, 2024 Accepting new patients
Call to Care LLC CurrentSince Oct 10, 2024 Accepting new patients
North Ward Medical Arts LLC CurrentSince Oct 10, 2024 Accepting new patients
Roseville Medical Society LLC CurrentSince Oct 10, 2024 Accepting new patients
Salerno Medical Associates, LLC CurrentSince Oct 10, 2024 Accepting new patients
Senior Healthcare Outreach Program CurrentSince Oct 10, 2024 Accepting new patients

Locations

613 Park Ave
East Orange, NJ 07017
Phone (973) 672-2455

613 Park Ave
Fl 2
East Orange, NJ 07017
Phone (973) 485-6433

613 Park Ave
Fl 1
East Orange, NJ 07017
Phone (973) 556-0955

1575 Route 517
Hackettstown, NJ 07840
Phone (646) 209-5519

95 Bridge Plaza Dr
Manalapan, NJ 07726
Phone (732) 841-0319

485 Mount Prospect Ave
Fl 1
Newark, NJ 07104
Phone (973) 485-6433

292 Lafayette St
Newark, NJ 07105
Phone (866) 525-9018

346 Roseville Ave
Newark, NJ 07107
Phone (973) 482-7245

523 Park Ave
Orange, NJ 07050
Phone (862) 229-1516

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13207/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1718064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728518400000",
    "number": "1386486330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 PARK AVENUE",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "07017",
            "telephone_number": "973-672-8573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 PARK AVENUE",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "07017",
            "telephone_number": "866-525-9018",
            "fax_number": "888-412-1759"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Robert Wood Johnson Pl",
            "address_purpose": "LOCATION",
            "city": "New Brunswick",
            "state": "NJ",
            "postal_code": "089011928",
            "country_code": "US",
            "telephone_number": "732-937-8560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WERNER",
        "first_name": "KEIRA",
        "middle_name": "ERIN",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-11",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ15029800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Orange, NJ

Sources for this page

Verify at the official NPI Registry.