Active NPI
Jeanne Marie Kerr, MSN APRN NP-C
- Family Nurse Practitioner
- Daytona Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11011720
- Practice address
- 1630 Mason Ave Ste C
Daytona Beach, FL 32117-4503 - Phone
- (386) 238-9064
- NPI assigned
- Oct 21, 2019
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 28220237A | IN | |
| Registered Nurse | 163W00000X | 9556993 | FL | |
| Family Nurse Practitioner | 363LF0000X | F09190634 | IN | |
| Family Nurse Practitioner | 363LF0000X | 11011720 | FL | Primary |
Addresses
Primary practice location
1630 Mason Ave Ste C
Daytona Beach, FL 32117-4503
Mailing address
3050 Bryce CT
Deltona, FL 32738-7968
Phone (812) 306-6693
Other practice location 1
3050 Bryce Ct
Deltona, FL 32738-7968
Phone (812) 306-6693
Other practice location 2
16 Rushingwater Dr
Portage, IN 46368-4617
Phone (812) 306-6693
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, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1630 Mason Ave
Suite C
Daytona Beach, FL 32117-4503
Phone (386) 238-9064
4711 Curry Ford Rd
Suite B
Orlando, FL 32812-2704
Phone (407) 275-9014
550 National Health Care Dr
Daytona Beach, FL 32114-1494
Phone (386) 257-6362
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.99 of 100
- Quality
- 84.82
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 61.81
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9556993 | FL | MD | Registered Nurse |
| 11011720 | FL | MD | Family Nurse Practitioner |
| F09190634 | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pai Participant 1 LLC | Current | Accepting new patients | |
| Community Care Health Network LLC | Current | Accepting new patients | |
| Excellence Health, LLC | Current | Accepting new patients | |
| Wound Technology Network Inc | Current | Accepting new patients | |
| Primary Care Specialists of Orlando LLC | Current | Accepting new patients | |
| Dover Shores Family Practice | Current | Accepting new patients | |
| Excellence Health Specialist LLC | Current | Accepting new patients | |
| M Medical Group SE LLC | Current | Accepting new patients | |
| Traditions Family Medicine, LLC | Current | Accepting new patients | |
| Incredible Family Health & Wellness | Current | Accepting new patients | |
| Sandford H Kinne III D O P a | Past | Accepting new patients |
Locations
9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883
1445 Howell Ave
Brooksville, FL 34601
Phone (352) 799-1451
550 National Health Care Dr
Daytona Beach, FL 32114
Phone (386) 257-6362
550 National Health Care Dr
#D
Daytona Beach, FL 32114
Phone (386) 257-6362
1630 Mason Ave
Ste C
Daytona Beach, FL 32117
Phone (386) 238-9064
401 E Sample Rd
Deerfield Beach, FL 33064
Phone (954) 776-5700
2109 E New York Ave
Deland, FL 32724
Phone (386) 232-0449
13755 Golf Club Pkwy
Fort Myers, FL 33919
Phone (239) 482-2848
4540 Southside Blvd
Ste 401
Jacksonville, FL 32216
Phone (904) 566-9256
220 Sierra Dr
North Miami Beach, FL 33179
Phone (305) 653-8427
4711 Curry Ford Rd
Ste B
Orlando, FL 32812
Phone (407) 275-6810
5979 Vineland Rd
Ste 109
Orlando, FL 32819
Phone (407) 270-7702
2202 N West Shore Blvd
Ste 200
Tampa, FL 33607
Phone (317) 452-4352
2202 N West Shore Blvd
Tampa, FL 33607
Phone (813) 416-4680
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 11
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.
-
- Family Medicine Physician
- Orlando, FL
- NPI 1417683707
-
- Sleep Medicine (Internal Medicine) Physician
- Daytona Beach, FL
- NPI 1306559265
-
- Family Medicine Physician
- Daytona Beach, FL
- NPI 1447741749
-
- Infectious Disease Physician
- Orlando, FL
- NPI 1962601393
-
dba Matrix Medical Network
- Nurse Practitioner
- Nashville, TN
- NPI 1619368842
FL
-
- Geriatric Medicine (Internal Medicine) Physician
- Chillicothe, OH
- NPI 1093371312
FL
-
- Family Medicine Physician
- Deltona, FL
- NPI 1215791157
-
- Family Medicine Physician
- Orlando, FL
- NPI 1740559939
-
- Family Medicine Physician
- Orlando, FL
- NPI 1548924236
-
- Family Medicine Physician
- Ormond Beach, FL
- NPI 1942435920
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Centerwell Home Health
- Home Health Agency
- Daytona Beach, FL
- NPI 1114955713
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628640000000",
"number": "1790328094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3050 BRYCE CT",
"city": "DELTONA",
"state": "FL",
"postal_code": "327387968",
"telephone_number": "812-306-6693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1630 MASON AVE STE C",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321174503",
"telephone_number": "386-238-9064"
}
],
"practiceLocations": [
{
"address_1": "3050 Bryce Ct",
"address_purpose": "LOCATION",
"city": "Deltona",
"state": "FL",
"postal_code": "327387968",
"country_code": "US",
"telephone_number": "812-306-6693",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "16 Rushingwater Dr",
"address_purpose": "LOCATION",
"city": "Portage",
"state": "IN",
"postal_code": "463684617",
"country_code": "US",
"telephone_number": "812-306-6693",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KERR",
"first_name": "JEANNE",
"middle_name": "MARIE",
"credential": "MSN APRN NP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-10-21",
"last_updated": "2021-08-11",
"certification_date": "2021-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IN",
"license": "28220237A",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "9556993",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "F09190634",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "11011720",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Daytona Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.
- 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.