Individual provider Active NPI

Kerri Liska

  • Physician Assistant
  • North Falmouth, MA
National Provider Identifier
1508312562
Registry record updated Apr 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA6006 Issued in MA
Practice address
37 Edgerton Dr
North Falmouth, MA 02556-2841
Phone
(508) 563-2550
NPI assigned
Aug 30, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2021

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 PA6006 MA Primary

Addresses

Primary practice location

37 Edgerton Dr
North Falmouth, MA 02556-2841

Mailing address

37 Edgerton Dr Ste 1
North Falmouth, MA 02556-2841
Phone (508) 563-2550

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170530002093 MA Practitioner - Physician Assistant 2567739204 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Boston University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

37 Edgerton Dr
Suite 1
North Falmouth, MA 02556-2841
Phone (508) 563-2550

538 Turnpike St
North Andover, MA 01845-5812
Phone (978) 691-5690

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.63 of 100Reported as group
Quality
84.27
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA6006MAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Neda at North Shore PC CurrentSince Sep 1, 2019 Accepting new patients
Northeast Dermatology Associates, PC Current Accepting new patients
Steward Medical Group, Inc Past Accepting new patients

Locations

538 Turnpike St
North Andover, MA 01845
Phone (978) 683-9201

37 Edgerton Dr
North Falmouth, MA 02556
Phone (508) 563-2094

37 Edgerton Dr
Ste 1
North Falmouth, MA 02556
Phone (508) 563-2550

Interoperability endpoints

  • Direct secure messaging: kerri.liska@pd.eclinicaldirectplus.com
  • Direct secure messaging: kliska@nedermatology.emadirect.md

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.

NPI Registry JSON

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

{
    "created_epoch": "1472515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617321600000",
    "number": "1508312562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 EDGERTON DR STE 1",
            "city": "NORTH FALMOUTH",
            "state": "MA",
            "postal_code": "025562841",
            "telephone_number": "508-563-2550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 EDGERTON DR",
            "city": "NORTH FALMOUTH",
            "state": "MA",
            "postal_code": "025562841",
            "telephone_number": "508-563-2550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISKA",
        "first_name": "KERRI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-30",
        "last_updated": "2021-04-02",
        "certification_date": "2021-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA6006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Falmouth, MA

Sources for this page

Verify at the official NPI Registry.