Individual provider Active NPI

Jeanne Marie Kerr, MSN APRN NP-C

  • Family Nurse Practitioner
  • Daytona Beach, FL
National Provider Identifier
1790328094
Registry record updated Aug 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11011720 Issued in FL
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

Updated by the provider on Aug 11, 2021

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

Specialties & licenses 4

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210913001351 FL Practitioner - Nurse Practitioner 3173956281 Reassigns benefits to 7 organizations

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
Excellence Health LLCGroup PAC ID 0840534160, 49 clinicians
Excellence Health Specialist, LLCGroup PAC ID 9234660994, 3 clinicians
Dover Shores Family PracticeGroup PAC ID 7517336431, 14 clinicians
M Medical Group SE LLCGroup PAC ID 4385037670, 20 clinicians

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 100Reported as group
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

LicenseStateTypeSpecialty
9556993FLMDRegistered Nurse
11011720FLMDFamily Nurse Practitioner
F09190634INMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pai Participant 1 LLC CurrentSince Oct 17, 2025 Accepting new patients
Community Care Health Network LLC CurrentSince Oct 1, 2025 Accepting new patients
Excellence Health, LLC CurrentSince Sep 1, 2021 Accepting new patients
Wound Technology Network Inc CurrentSince Mar 18, 2024 Accepting new patients
Primary Care Specialists of Orlando LLC Current Accepting new patients
Dover Shores Family Practice CurrentSince Nov 1, 2025 Accepting new patients
Excellence Health Specialist LLC CurrentSince Apr 1, 2025 Accepting new patients
M Medical Group SE LLC CurrentSince Oct 1, 2025 Accepting new patients
Traditions Family Medicine, LLC CurrentSince Nov 1, 2025 Accepting new patients
Incredible Family Health & Wellness CurrentSince Feb 18, 2024 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

  • FHIR API: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.