Audrey J. Kerr, PA-C
Individual provider Active NPI Physician Assistant · Glendive, MT
NPI 1790792836 · NPPES record last updated Feb 2, 2014
Key facts
- NPI
- 1790792836
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 641 (MT)
- Practice address
- 202 Prospect Dr
Glendive, MT 59330-1943 - Phone
- (406) 345-3314
- Fax
- (406) 345-3324
- NPI assigned
- Aug 2, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 11
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Gabert Medical Services Inc
Glendive Medical Center Inc
Practice addresses (Care Compare)
107 Dilworth St
Glendive, MT 59330-2053
Phone (406) 345-8901
202 Prospect Dr
Glendive, MT 59330-1943
Phone (406) 345-3306
202 Prospect Dr
Glendive, MT 59330-1999
710 Drake St
Wibaux, MT 59353-9086
Phone (406) 796-4325
Hospital & facility affiliations
- Glendive Medical Center
- Billings Clinic Hospital
- McCone County Health Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MT
- 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 |
|---|---|---|---|---|
| I20110413000571 | MT | Practitioner - Physician Assistant | 1355365057 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 971 | NE | MD | Occupational Therapist |
| 1233 | NE | MD | Speech-Language Pathologist |
| 641 | MT | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Glendive Medical Center, Inc | Current |
Accepting new patients | |
| Glendive Medical Center, Inc | Current | Accepting new patients | |
| Glendive Medical Center, Inc | Current |
Accepting new patients | |
| Frances Mahon Deaconess Hospital | Past | Accepting new patients |
Locations
202 Prospect Dr
Glendive, MT 59330
Phone (406) 345-3306
107 Dilworth St
Glendive, MT 59330
Phone (406) 345-8900
Interoperability endpoints
- akerr@gmc.cernerdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1233 | NE | |
| Physician Assistant | 363A00000X | 641 | MT | Yes |
Addresses
Primary practice location
202 Prospect Dr
Glendive, MT 59330-1943
Mailing address
202 Prospect Dr
Glendive, MT 59330-1943
Phone (406) 345-3314
Other providers in Glendive, MT
- Sandra Janzen
- Carolyn Jo Johnson
- Joseph Leal, M.D., P.C.
- Kenneth R Zuroff
- Kermit Ragain, M.D., P.C.
- Steve Knoop
- Rachel Kubesh
- Patrick R Lahiff
- Paulette Denise Lassiter
- Laurie C. Francis, PLLC
All providers in Glendive, MT · Physician Assistant in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 2, 2014. 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.