Individual provider Active NPI

Jennifer Luzia Cerny, MS, NP-C

  • Adult Health Nurse Practitioner
  • Winston Salem, NC
National Provider Identifier
1710132626
Registry record updated Nov 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
900459 Issued in NC
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

Updated by the provider on Nov 19, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160601001764 NC Practitioner - Nurse Practitioner 2860782935 Reassigns benefits to 1 organization

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
Uwh of the Carolinas PLLCGroup PAC ID 0042448169, 329 clinicians

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 100Reported as group
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

LicenseStateTypeSpecialty
900459NCMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Uwh of the Carolinas, PLLC CurrentSince Mar 30, 2016 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.