Eileen Ann Kerr, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

9402 Issued in MN

Practice address

2700 E Lake St
#1100
Minneapolis, MN 55406-1963

Phone

(612) 873-8100

Fax

(612) 276-0177

NPI assigned

Mar 31, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Allina Health System

  • General Practice Physician
  • Champlin, MN
  • NPI 1871899674
  NPD
• Allina Health System

  • Rheumatology Physician
  • Coon Rapids, MN
  • NPI 1952146516
  NPD
• Hennepin Healthcare System Inc

  • Specialty Pharmacy
  • Minneapolis, MN
  • NPI 1619567625
  NPD
• Hennepin Healthcare System, Inc

  • Clinic/Center
  • Minneapolis, MN
  • NPI 1710313895
  NPD
• St. Francis Regional Medical Center

  • Urgent Care Clinic/Center
  • Shakopee, MN
  • NPI 1447605514
  NPD
• Hennepin County

  • Psychiatry Physician
  • Minneapolis, MN
  • NPI 1780790345
  NPD (past)
• Hennepin Faculty Associates

  • General Practice Physician
  • Minneapolis, MN
  • NPI 1063459485
  NPD (past)

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542758400000",
    "number": "1609837301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HENNEPIN HEALTHCARE EAST LAKE CLINIC",
            "address_2": "2700 E. LAKE ST #1100",
            "city": "MPLS",
            "state": "MN",
            "postal_code": "55406",
            "telephone_number": "612-873-6963",
            "fax_number": "612-276-0188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 E LAKE ST",
            "address_2": "#1100",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554061963",
            "telephone_number": "612-873-8100",
            "fax_number": "612-276-0177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERR",
        "first_name": "EILEEN",
        "middle_name": "ANN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-31",
        "last_updated": "2018-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "9402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "507428200",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "123263",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "01-20856",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "NA9021020591",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "77B41KE",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "HP30472",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barbara L Kern-Pieh, CNM
• Christina Colchin Kern, CNP
• Marjorie Marie Kern, OTR/L
• Matthew Kern, MD
• Christine M Kerno, MSW, LICSW
• Lauren E Kerr, PA-C
• Madeline Anne Kerr
• Nicole Marie Kerr, MA, LPCC
• Sarah E Kerr, MD
• Margaret Kersey-Isaacson, M.D.

• Physician Assistant in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Physician Assistant in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.