NPIMap

Individual provider Active NPI

Kimberly Kersten, DO

  • Internal Medicine Physician
  • Newburyport, MA
National Provider Identifier
1912903030
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
202960 Issued in MA
Practice address
28 Green St
Newburyport, MA 01950-2650
Phone
(978) 465-7719
Fax
(978) 463-7965
NPI assigned
Jun 23, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 202960 MA Primary

Addresses

Primary practice location

28 Green St
Newburyport, MA 01950-2650

Mailing address

28 Green St
Newburyport, MA 01950-2650
Phone (978) 465-7719

Other practice location 1

30 Tozer Rd Fl 12
Beverly, MA 01915-5502
Phone (978) 712-1100

Other identifiers 1

IdentifierTypeStateIssuer
0130591MedicaidMA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kimberly.kersten@nsi.eclinicaldirectplus.com Direct Seacoast Affiliated Group Practice, Inc.

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110217000732 MA Practitioner - Internal Medicine 4486835881 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
New York College of Osteo Medicine of New York Institute of Technology, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

15 Railroad Ave
South Hamilton, MA 01982-2218
Phone (978) 468-7381

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
202960MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beth Israel Lahey Health Primary Care Inc CurrentSince Nov 1, 2024 Accepting new patients
Beth Israel Lahey Health Primary Care, Inc. CurrentSince Nov 1, 2024 Accepting new patients
Beth Israel Lahey Health Specialty Care, Inc. CurrentSince May 12, 2024 Accepting new patients
Beth Israel Lahey Health Specialty Care, Inc. Internal Medicine CurrentSince May 12, 2024 Accepting new patients
Seacoast Affiliated Group Practice, Inc. CurrentSince Mar 24, 2000 Accepting new patients
Beth Israel Lahey Health Primary Care, Inc. Internal Medicine Past Accepting new patients
River Valley Infectious Disease Specialists Inc. Past Accepting new patients

Locations

24 Morrill Pl
Amesbury, MA 01913
Phone (978) 388-5050

30 Tozer Rd
Fl 12
Beverly, MA 01915
Phone (978) 712-1100

30 Tozer Rd
Ste 203
Beverly, MA 01915
Phone (978) 712-1100

41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400

7 Henry Graf Jr Rd
Newburyport, MA 01950
Phone (978) 255-4607

21 Highland Ave
Ste 5
Newburyport, MA 01950
Phone (978) 255-4217

28 Green St
Newburyport, MA 01950
Phone (978) 270-3736

15 Railroad Ave
South Hamilton, MA 01982
Phone (978) 468-7381

Interoperability endpoints

  • Direct secure messaging: kimberly.kersten@nsi.eclinicaldirectplus.com
  • FHIR API: https://api.platform.athenahealth.com/10729/brand/1/csg/1/fhir/r4

Organizations & group practices 7

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 9

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": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1912903030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 GREEN ST",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019502650",
            "telephone_number": "978-465-7719",
            "fax_number": "978-463-7965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 GREEN ST",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019502650",
            "telephone_number": "978-465-7719",
            "fax_number": "978-463-7965"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 Tozer Rd Fl 12",
            "address_purpose": "LOCATION",
            "city": "Beverly",
            "state": "MA",
            "postal_code": "019155502",
            "country_code": "US",
            "telephone_number": "978-712-1100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KERSTEN",
        "first_name": "KIMBERLY",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-23",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "202960",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0130591",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kimberly.kersten@nsi.eclinicaldirectplus.com",
            "affiliation": "Y",
            "affiliationName": "Seacoast Affiliated Group Practice, Inc.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "28 Green St",
            "city": "Newburyport",
            "state": "MA",
            "country_code": "US",
            "postal_code": "019502650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Newburyport, MA

Sources for this page

Verify at the official NPI Registry.