Active NPI
Jennifer Luzia Cerny, MS, NP-C
- Adult Health Nurse Practitioner
- Winston Salem, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 900459
- Practice address
- 3000 Maplewood Ave
Winston Salem, NC 27103-4002 - Phone
- (336) 768-2980
- Fax
- (336) 765-6599
- NPI assigned
- Nov 19, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 900459 | NC | Primary |
Addresses
Primary practice location
3000 Maplewood Ave
Winston Salem, NC 27103-4002
Mailing address
1742 Muddy Creek Rd
Clemmons, NC 27012-6916
Phone (336) 764-1109
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
111 Hanestowne Court
Suite 151
Winston Salem, NC 27103-1749
Phone (919) 334-0150
1806 S Hawthorne Rd
Winston Salem, NC 27103-4014
Phone (336) 768-3632
445 Pineview Dr
Suite 110
Kernersville, NC 27284-3818
Phone (336) 765-9350
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.25 of 100
- Quality
- 82.32
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.52
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 900459 | NC | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Uwh of the Carolinas, PLLC | Current | Accepting new patients | |
| Whap, PA | Past | Accepting new patients |
Locations
445 Pineview Dr
Ste 110
Kernersville, NC 27284
Phone (336) 993-4352
1908 Caudle Dr
Ste 101
Mount Airy, NC 27030
Phone (336) 789-9076
1806 S Hawthorne Rd
Winston Salem, NC 27103
Phone (336) 768-3632
111 Hanestown Ct
#151
Winston Salem, NC 27103
Phone (919) 334-0150
Interoperability endpoints
- jennifer.cerny.1@7773.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Obstetrics & Gynecology Physician
- Morrisville, NC
- NPI 1639506470
-
dba Lyndhurst Gynecologic Associates
- Obstetrics & Gynecology Physician
- Winston Salem, NC
- NPI 1649261785
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1227052800000",
"number": "1710132626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1742 MUDDY CREEK RD",
"city": "CLEMMONS",
"state": "NC",
"postal_code": "270126916",
"telephone_number": "336-764-1109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 MAPLEWOOD AVE",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271034002",
"telephone_number": "336-768-2980",
"fax_number": "336-765-6599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CERNY",
"first_name": "JENNIFER",
"middle_name": "LUZIA",
"name_prefix": "Mrs.",
"credential": "MS, NP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-11-19",
"last_updated": "2008-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NC",
"license": "900459",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2008; 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.