Individual provider Active NPI

Angela Marie Kerchner, M.D.

  • Family Medicine Physician
  • Red Oak, IA
National Provider Identifier
1821319955
Registry record updated Apr 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
40014 Issued in IA
Practice address
2301 Eastern Ave
Red Oak, IA 51566-1300
Phone
(712) 623-7000
NPI assigned
Jun 11, 2010
Last updated
Apr 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X R-8970 IA
Family Medicine Physician 207Q00000X 40014 IA Primary

Addresses

Primary practice location

2301 Eastern Ave
Red Oak, IA 51566-1300

Mailing address

2301 Eastern Ave
Red Oak, IA 51566-1300
Phone (712) 623-7000

Other practice location 1

309 E Van Buren St
Lenox, IA 50851-1601
Phone (515) 344-3324

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address MCAKerchner@MCMH.Cernerdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110817000421 IA Practitioner - Family PracticePractitioner - Emergency Medicine 7810166311 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
University of Iowa, RJ & L Carver College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Montgomery County Memorial HospitalGroup PAC ID 9032015805, shared by 7 NPIs, 43 clinicians

Practice addresses (Care Compare)

2301 Eastern Ave
Red Oak, IA 51566-1300
Phone (712) 623-7000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
40014IAMDFamily Medicine Physician
R-8970IAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Montgomery County Memorial Hospital CurrentSince Mar 31, 2022 Accepting new patients
Montgomery County Memorial Hospital CurrentSince Mar 31, 2022 Accepting new patients
Montgomery County Memorial Hospital Current Accepting new patients
Genesis Health System Family Medicine Past Accepting new patients
Genesis Medical Education Foundation Inc Family Medicine Past Accepting new patients

Locations

2301 Eastern Ave
Red Oak, IA 51566
Phone (712) 623-7270

Interoperability endpoints

  • Direct secure messaging: mcakerchner@mcmh.cernerdirect.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1276214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713225600000",
    "number": "1821319955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 EASTERN AVE",
            "city": "RED OAK",
            "state": "IA",
            "postal_code": "515661300",
            "telephone_number": "712-623-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 EASTERN AVE",
            "city": "RED OAK",
            "state": "IA",
            "postal_code": "515661300",
            "telephone_number": "712-623-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "309 E Van Buren St",
            "address_purpose": "LOCATION",
            "city": "Lenox",
            "state": "IA",
            "postal_code": "508511601",
            "country_code": "US",
            "telephone_number": "515-344-3324",
            "fax_number": "641-329-4665",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KERCHNER",
        "first_name": "ANGELA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-11",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "R-8970",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "40014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MCAKerchner@MCMH.Cernerdirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2301 Eastern Ave",
            "city": "Red Oak",
            "state": "IA",
            "country_code": "US",
            "postal_code": "515661300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Red Oak, IA

Sources for this page

Verify at the official NPI Registry.