Active NPI
Jeffery Alan Kerr, D.O.
- Family Medicine Physician
- Waynesville, MO
National Provider Identifier
1831152370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- R8F45
- Practice address
- 1000 GW LN
Waynesville, MO 65583-2339 - Phone
- (573) 842-4116
- Fax
- (573) 433-2008
- NPI assigned
- Apr 7, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | R8F45 | MO | Primary |
Addresses
Primary practice location
1000 GW LN
Waynesville, MO 65583-2339
Mailing address
1050 W 10TH St
Rolla, MO 65401-2905
Phone (573) 364-9000
Other practice location 1
603 S Bishop Ave
Rolla, MO 65401-4320
Phone (573) 426-4411
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 26-8630 | Other | MO | RH MEDICARE |
| 1447412770 | Other | MO | RH MEDICAID (CLINIC) |
| 242285732 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- At Still University of Health Sciences, College of Osteo Med, Kirksville, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1050 W 10TH St
Rolla, MO 65401-2905
Phone (573) 364-9000
Hospital & facility affiliations
- Phelps County Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MOR8F45 | MO | MD | Geriatric Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pcrmc Medical Group, Inc | Current | Accepting new patients | |
| Medical Laboratory Services, Inc. | Past | Accepting new patients | |
| Texas County Memorial Hospital | Past | Accepting new patients |
Locations
603 S Bishop Ave
Rolla, MO 65401
Phone (573) 426-4411
1050 W 10th St
Rolla, MO 65401
Phone (573) 364-9000
1000 W 10th St
Rolla, MO 65401
Phone (573) 364-9000
1000 Gw Ln
Waynesville, MO 65583
Phone (573) 774-2715
Organizations & group practices 4
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.
-
- Clinic/Center
- Rolla, MO
- NPI 1124237227
-
- General Acute Care Hospital
- Rolla, MO
- NPI 1891766051
-
- Specialist
- Rolla, MO
- NPI 1538373899
-
- Multi-Specialty Clinic/Center
- Houston, MO
- NPI 1306885587
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital Unit
- Rolla, MO
- NPI 1346287455
-
- General Acute Care Hospital
- Rolla, MO
- NPI 1891766051
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788393600000",
"number": "1831152370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1050 W 10TH ST",
"city": "ROLLA",
"state": "MO",
"postal_code": "654012905",
"telephone_number": "573-364-9000",
"fax_number": "573-426-2108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 GW LN",
"city": "WAYNESVILLE",
"state": "MO",
"postal_code": "655832339",
"telephone_number": "573-842-4116",
"fax_number": "573-433-2008"
}
],
"practiceLocations": [
{
"address_1": "603 S Bishop Ave",
"address_purpose": "LOCATION",
"city": "Rolla",
"state": "MO",
"postal_code": "654014320",
"country_code": "US",
"telephone_number": "573-426-4411",
"fax_number": "573-426-4403",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KERR",
"first_name": "JEFFERY",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-07",
"last_updated": "2026-09-03",
"certification_date": "2026-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MO",
"license": "R8F45",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RH MEDICARE",
"identifier": "26-8630",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RH MEDICAID (CLINIC)",
"identifier": "1447412770",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "242285732",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Waynesville, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; 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.