Active NPI
Kerry A McDonald, NP
- Family Nurse Practitioner
- Westborough, MA
National Provider Identifier
1730149758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 252733
- Practice address
- 1400 Computer Dr Ste 301
Westborough, MA 01581-1790 - Phone
- (617) 420-5316
- NPI assigned
- Mar 24, 2006
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 252733 | MA | |
| Family Nurse Practitioner | 363LF0000X | 252733 | MA | Primary |
Addresses
Primary practice location
1400 Computer Dr Ste 301
Westborough, MA 01581-1790
Mailing address
104 Leominster Rd
Sterling, MA 01564-2114
Phone (978) 422-7774
Other practice location 1
104 Leominster Rd
Sterling, MA 01564-2114
Phone (978) 422-7774 ext. 22
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AA18698 | Other | MA | HARVARD PILGRIM |
| 0701068 | Medicaid | MA | |
| NP4776 | Other | MA | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- 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, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4200 NW 90TH Blvd
Gainesville, FL 32606-3809
Phone (844) 558-4111
Hospital & facility affiliations
- HCA Florida North Florida Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quality Healthcare Resources LLC | Family | Current | Accepting new patients |
| Haven Medical Group, LLC | Current | Accepting new patients | |
| North Central Florida Hospice, Inc. | Past | Accepting new patients | |
| Saint Vincent Physician Services, Inc. | Nurse Practitioner | Past | Accepting new patients |
| Abode Hospice of Florida, LLC | Past | Accepting new patients |
Locations
2200 S Bowman Rd
Ste A
Little Rock, AR 72211
Phone (501) 558-4100
4200 NW 90th Blvd
Gainesville, FL 32606
Phone (352) 378-2121
Interoperability endpoints
- kmcdonald@landmarkhealth-direct.org
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 and National Provider Directory roles.
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Gainesville, FL
- NPI 1407143316
-
- Family Medicine Physician
- Worcester, MA
- NPI 1013997329
Nurse Practitioner
-
- Community Based Hospice Care Agency
- Gainesville, FL
- NPI 1154162857
-
- Inpatient Hospice
- Gainesville, FL
- NPI 1699742783
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Gainesville, FL
- NPI 1174579155
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575244800000",
"number": "1730149758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 LEOMINSTER RD",
"city": "STERLING",
"state": "MA",
"postal_code": "015642114",
"telephone_number": "978-422-7774",
"fax_number": "978-422-9089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 COMPUTER DR STE 301",
"city": "WESTBOROUGH",
"state": "MA",
"postal_code": "015811790",
"telephone_number": "617-420-5316"
}
],
"practiceLocations": [
{
"address_1": "104 Leominster Rd",
"address_purpose": "LOCATION",
"city": "Sterling",
"state": "MA",
"postal_code": "015642114",
"country_code": "US",
"telephone_number": "978-422-7774 x22",
"fax_number": "978-422-9089",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCDONALD",
"first_name": "KERRY",
"middle_name": "A",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-24",
"last_updated": "2019-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MA",
"license": "252733",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MA",
"license": "252733",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "AA18698",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0701068",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "NP4776",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Westborough, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2019; 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.