Individual provider Active NPI

Elizabeth Kerr, FNP

  • Family Nurse Practitioner
  • Damariscotta, ME
National Provider Identifier
1619352267
Registry record updated Dec 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP151092 Issued in ME
Practice address
24 Miles Center Way
Damariscotta, ME 04543-4067
Phone
(207) 563-4250
NPI assigned
Jul 24, 2015
Last updated
Dec 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X CNP151092 ME Primary

Addresses

Primary practice location

24 Miles Center Way
Damariscotta, ME 04543-4067

Mailing address

24 Miles Center Way
Damariscotta, ME 04543-4067

Other practice location 1

16 Depot St
Suite 300
Livermore Falls, ME 04254-1311
Phone (207) 897-4345

Other practice location 2

24 Gardiner St
Richmond, ME 04357
Phone (207) 737-4359

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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
I20150831001638 ME Practitioner - Nurse Practitioner 9739495110 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MainehealthGroup PAC ID 7517860588, shared by 31 NPIs, 2,616 clinicians

Practice addresses (Care Compare)

24 Miles Ctr Way
Maine Behavioral Healthcare
Damariscotta, ME 04543-4067
Phone (844) 292-0111

5 Miles Ctr Way
Damariscotta, ME 04543-4067
Phone (207) 563-3782

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince Apr 1, 2023 Accepting new patients
Healthreach Community Health Centers CurrentSince Sep 6, 2016 Accepting new patients
Healthreach Community Health Centers CurrentSince Jul 20, 2015 Accepting new patients
Healthreach Community Health Centers CurrentSince Jul 20, 2015 Accepting new patients
Mainehealth Family CurrentSince Apr 1, 2023 Accepting new patients
Mainehealth Current Accepting new patients
Mainehealth Current Accepting new patients

Locations

24 Miles Center Way
Damariscotta, ME 04543
Phone (207) 563-4250

16 Depot St
Livermore Falls, ME 04254
Phone (207) 897-4345

16 Depot St
Ste 300
Livermore Falls, ME 04254
Phone (207) 897-4345

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

24 Gardiner St
Richmond, ME 04357
Phone (207) 727-4359

Interoperability endpoints

  • Direct secure messaging: ekerr576185@direct.mmc.mainehealth.org

Organizations & group practices 7

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.

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": "1437696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735171200000",
    "number": "1619352267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 MILES CENTER WAY",
            "city": "DAMARISCOTTA",
            "state": "ME",
            "postal_code": "045434067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 MILES CENTER WAY",
            "city": "DAMARISCOTTA",
            "state": "ME",
            "postal_code": "045434067",
            "telephone_number": "207-563-4250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16 Depot St",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Livermore Falls",
            "state": "ME",
            "postal_code": "042541311",
            "country_code": "US",
            "telephone_number": "207-897-4345",
            "fax_number": "207-897-2321",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24 Gardiner St",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "ME",
            "postal_code": "04357",
            "country_code": "US",
            "telephone_number": "207-737-4359",
            "fax_number": "207-737-4412",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KERR",
        "first_name": "ELIZABETH",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-24",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "CNP151092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Damariscotta, ME

Sources for this page

Verify at the official NPI Registry.