Emily Kerns, PA
Individual provider Active NPI Medical Physician Assistant · Macon, MO
NPI 1942845375 · NPPES record last updated Nov 8, 2019
Key facts
- NPI
- 1942845375
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- 2019042772 (MO)
- Practice address
- 1201 N Rutherford St
Macon, MO 63552-2020 - Phone
- (660) 385-8900
- NPI assigned
- Nov 8, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Macon County Samaritan Hospital
Practice addresses (Care Compare)
1201 N Rutherford St
Macon, MO 63552-2020
Phone (660) 385-8700
Hospital & facility affiliations
- Elara Caring
- Boone Hospital Center
- Moberly Regional Medical Center
- University of Missouri Health Care
- Pershing Memorial Hospital
- Macon County Samaritan Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- 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 |
|---|---|---|---|---|
| I20200122002249 | MO | Practitioner - Physician Assistant | 4082049911 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2019042772 | MO | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Macon County Samaritan Hospital | Current |
Accepting new patients | |
| Macon County Samaritan Hospital | Past | Accepting new patients |
Locations
1201 N Rutherford St
Macon, MO 63552
Phone (660) 385-8700
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 2019042772 | MO | Yes |
Addresses
Primary practice location
1201 N Rutherford St
Macon, MO 63552-2020
Mailing address
1201 N Rutherford St
Macon, MO 63552-2020
Phone (660) 385-8900
Other providers in Macon, MO
- Ibrace Ortho LLC
- James a. Wilson DDS,PC
- Lara Beth Jones
- James Benjamin Jorgenson
- Jamie Marie Kauffman
- Julia R Knapp
- Kyle Brandon Kocher
- Lab One LLC
- Abby M Lane
- Paul Vincent Lane
All providers in Macon, MO · Medical Physician Assistant in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 8, 2019. 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.