Kerry Deniece Bera, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2021006335 Issued in MO

Practice address

315 W 75TH St
Kansas City, MO 64114-5738

Phone

(816) 361-4668

NPI assigned

Mar 8, 2021

Last updated

Sep 2, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1615161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630540800000",
    "number": "1710572094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 W 75TH ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641145738",
            "telephone_number": "816-361-4668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 W 75TH ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641145738",
            "telephone_number": "816-361-4668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERA",
        "first_name": "KERRY",
        "middle_name": "DENIECE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-08",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2021006335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Andrew Benvenuti, M.D.
• Victor Benvenuto II, MD
• Ogochukwu Lauretta Benye, PMHNP-BC
• Goldie Benz
• Merritt Benz, LCSW
• Cathy E. Berenson, MD
• Kathleen Joyce Berg, MD
• James A Bergant, MD
• James Robert Bergh, MD
• Jessica Bergin, PHARMD

• Family Nurse Practitioner in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.