Individual provider Active NPI

Kerra Maurer, APRN, AGPCNP-BC

  • Gerontology Nurse Practitioner
  • Simsbury, CT
National Provider Identifier
1649656414
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
12.006189 Issued in CT
Practice address
720 Hopmeadow St
Simsbury, CT 06070-2224
Phone
(860) 651-3519
Fax
(860) 651-4133
NPI assigned
Aug 4, 2015
Last updated
Mar 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 12.006189 CT Primary

Addresses

Primary practice location

720 Hopmeadow St
Simsbury, CT 06070-2224

Mailing address

263 Farmington Ave
Farmington, CT 06030-8082

Other practice location 1

400 Capital Blvd
Rocky Hill, CT 06067-3576
Phone (860) 221-0649

Other practice location 2

263 Farmington Ave
Farmington, CT 06030
Phone (860) 651-3519

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address kmaurer65446@direct.med.uchc.edu
Direct Messaging Address kmaurer65446@direct.med.uchc.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20200602000046 CT Practitioner - Nurse Practitioner 7113236654 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Connecticut School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

263 Farmington Ave
Farmington, CT 06030-0001
Phone (860) 679-3692

263 Farmington Ave
Farmington, CT 06030-8082

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6189CTMDSpeech-Language Pathologist
12.006189CTMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Connecticut Health Center CurrentSince Feb 1, 2023 Accepting new patients
University of Connecticut Health Center CurrentSince Feb 1, 2023 Accepting new patients
Prohealth Physicians PC CurrentSince Apr 1, 2022 Accepting new patients
Absolute Outcomes, LLC Past Accepting new patients
University of Connecticut Health Center Past Accepting new patients

Locations

263 Farmington Ave
Farmington, CT 06030
Phone (860) 679-4477

330 Pomfret St
Putnam, CT 06260
Phone (860) 928-2736

720 Hopmeadow St
Simsbury, CT 06070
Phone (860) 651-3519

836 Hopmeadow St
Simsbury, CT 06070
Phone (860) 651-3519

836 Hopmeadow St
Unit 102
Simsbury, CT 06070

115 Spencer St
Winsted, CT 06098
Phone (860) 738-5810

Interoperability endpoints

  • Direct secure messaging: kmaurer65446@direct.med.uchc.edu

Organizations & group practices 5

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 2

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": "1438646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1649656414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 FARMINGTON AVE",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060308082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 HOPMEADOW ST",
            "city": "SIMSBURY",
            "state": "CT",
            "postal_code": "060702224",
            "telephone_number": "860-651-3519",
            "fax_number": "860-651-4133"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Capital Blvd",
            "address_purpose": "LOCATION",
            "city": "Rocky Hill",
            "state": "CT",
            "postal_code": "060673576",
            "country_code": "US",
            "telephone_number": "860-221-0649",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "263 Farmington Ave",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "CT",
            "postal_code": "06030",
            "country_code": "US",
            "telephone_number": "860-651-3519",
            "fax_number": "860-651-4133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAURER",
        "first_name": "KERRA",
        "credential": "APRN, AGPCNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-04",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CT",
            "license": "12.006189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kmaurer65446@direct.med.uchc.edu",
            "affiliation": "N",
            "address_1": "720 Hopmeadow St",
            "city": "Simsbury",
            "state": "CT",
            "country_code": "US",
            "postal_code": "060702224",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kmaurer65446@direct.med.uchc.edu",
            "affiliation": "N",
            "address_1": "263 Farmington Ave",
            "city": "Farmington",
            "state": "CT",
            "country_code": "US",
            "postal_code": "06030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Simsbury, CT

Sources for this page

Verify at the official NPI Registry.