Active NPI
Elizabeth Kern, CNP
- Psychiatric/Mental Health Nurse Practitioner
- Worcester, MA
National Provider Identifier
1639774516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- RN2319824
- Practice address
- 631 Lincoln St
Worcester, MA 01605-2010 - Phone
- (508) 786-8025
- Fax
- (508) 786-8875
- NPI assigned
- Dec 1, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | RN2319824 | MA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | RN2319824 | MA | Primary |
Addresses
Primary practice location
631 Lincoln St
Worcester, MA 01605-2010
Mailing address
631 Lincoln St
Worcester, MA 01605-2010
Phone (508) 786-8025
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NONE | Other | NONE |
Medicare participation
Medicare enrollment files- 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
Care Compare profile
Medicare Care Compare- Specialty
- Undefined Non-Physician Type (Specify)
- Education
- Other, 2020
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Family Health Center of Worcester, Inc.
Practice addresses (Care Compare)
26 Queen St
Worcester, MA 01610-2473
Phone (508) 860-7800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776729600000",
"number": "1639774516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "631 LINCOLN ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016052010",
"telephone_number": "508-786-8025",
"fax_number": "508-786-8875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "631 LINCOLN ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016052010",
"telephone_number": "508-786-8025",
"fax_number": "508-786-8875"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERN",
"first_name": "ELIZABETH",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-01",
"last_updated": "2026-04-21",
"certification_date": "2026-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MA",
"license": "RN2319824",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MA",
"license": "RN2319824",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NONE",
"identifier": "NONE",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; 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.