Kerrie L Bailey, NP
Individual provider Active NPI Adult Health Nurse Practitioner · Brighton, MA
NPI 1790713147 · NPPES record last updated Mar 11, 2025
Key facts
- NPI
- 1790713147
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- 202130 (MA)
- Practice address
- 11 Nevins St. Suite 406
Semc - Digestive Disease Center
Brighton, MA 02135 - Phone
- (617) 462-5432
- Fax
- (617) 789-5049
- NPI assigned
- Jun 28, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- BMC Affiliated Physicians, Inc.
Practice addresses (Care Compare)
11 Nevins St
Brighton, MA 02135-3514
Phone (617) 779-6700
235 N Pearl St
Brockton, MA 02301-1794
Phone (508) 427-3000
Hospital & facility affiliations
- Boston Medical Center-Brighton
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060802000492 | MA | Practitioner - Nurse Practitioner | 5092728311 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 202130 | MA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Steward Medical Group, Inc | Specialist | Current |
Accepting new patients |
| BMC Affiliated Physicians, Inc. | Current |
Accepting new patients | |
| Steward Medical Group, Inc | Specialist | Current |
Accepting new patients |
| Caritas St. Elizabeth'S Medical Center | Specialist | Past | Accepting new patients |
Locations
960 Massachusetts Ave
Ste 2
Boston, MA 02118
11 Nevins St
Ste 406
Brighton, MA 02135
Phone (617) 562-5432
11 Nevins St
Ste 402
Brighton, MA 02135
Phone (617) 562-5432
77 Warren St
Brighton, MA 02135
Phone (617) 254-1271
77 Warren St
Fl 1
Brighton, MA 02135
Phone (617) 562-5200
11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442
11 Nevins St
Ste 501
Brighton, MA 02135
Phone (617) 782-1200
11 Nevins St
Brighton, MA 02135
Phone (617) 562-2782
235 N Pearl St
Brockton, MA 02301
Phone (508) 427-2525
100 Amesbury St
Ste 103
Lawrence, MA 01840
Phone (978) 683-0157
40 Spring St
Watertown, MA 02472
Phone (617) 923-8433
Interoperability endpoints
- kerrie.bailey.1@2017.direct.athenahealth.com
- kbailey252585@direct.bmc.masshiway.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 202130 | MA | |
| Adult Health Nurse Practitioner | 363LA2200X | 202130 | MA | Yes |
Addresses
Primary practice location
11 Nevins St. Suite 406
Semc - Digestive Disease Center
Brighton, MA 02135
Mailing address
Bmchs Provider Enrollment
960 Massachusetts Ave FLR 2
Boston, MA 02135
Other providers in Brighton, MA
- Amro Tarek Mohamed Helmy Badr
- Raffi Badrikian
- Cristina Paz Baens
- Zahra Bagheri
- Christian Baglini
- Hilary Linn Gaiser Baker
- Michael M Bakerman
- Vaidyanathapuram Balakrishnan
- Javier Andres Balda Canizares
- Elie R. Balesh
All providers in Brighton, MA · Adult Health Nurse Practitioner in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.