Individual provider Active NPI

Jaimie Kern, FNP-BC

  • Family Nurse Practitioner
  • Hamilton, OH
National Provider Identifier
1982295622
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0027600 Issued in OH
Practice address
840 NW Washington Blvd Ste C
Hamilton, OH 45013-6381
Phone
(513) 737-7246
Fax
(513) 737-6601
NPI assigned
Jan 26, 2021
Last updated
Oct 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.0027600 OH Primary

Addresses

Primary practice location

840 NW Washington Blvd Ste C
Hamilton, OH 45013-6381

Mailing address

840 NW Washington Blvd Ste C
Hamilton, OH 45013-6381
Phone (513) 737-7246

Other practice location 1

520 Eaton Ave Ste 200
Hamilton, OH 45013-2878
Phone (513) 867-1200

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jkern548609@direct.ketteringhealth.org
FHIR URL https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210203001583 OH Practitioner - Nurse Practitioner 7517371529 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kettering Independent Medical Group IncGroup PAC ID 3173710936, 699 clinicians

Practice addresses (Care Compare)

520 Eaton Ave
Suite 200
Hamilton, OH 45013-2716
Phone (513) 867-1200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Beresh Pain Management CurrentSince Aug 8, 2022 Accepting new patients
Kettering Independent Medical Group Inc CurrentSince Aug 1, 2024 Accepting new patients
Alliance Physicians Inc PastSince Aug 1, 2024 Accepting new patients
Helen Holtman, M.D. and Associates Inc. PastSince Aug 8, 2022 Accepting new patients

Locations

520 Eaton Ave
Ste 200
Hamilton, OH 45013
Phone (513) 867-1200

840 NW Washington Blvd
Ste C
Hamilton, OH 45013
Phone (513) 737-7246

4403 Far Hills Ave
Kettering, OH 45429
Phone (937) 395-3910

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1258/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jaimie.kern@krogerhealth.eclinicaldirectplus.com

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1611619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1982295622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 NW WASHINGTON BLVD STE C",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450136381",
            "telephone_number": "513-737-7246",
            "fax_number": "513-737-6601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 NW WASHINGTON BLVD STE C",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450136381",
            "telephone_number": "513-737-7246",
            "fax_number": "513-737-6601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "520 Eaton Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Hamilton",
            "state": "OH",
            "postal_code": "450132878",
            "country_code": "US",
            "telephone_number": "513-867-1200",
            "fax_number": "513-867-1266",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KERN",
        "first_name": "JAIMIE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-26",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0027600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jkern548609@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "520 Eaton Ave Ste 200",
            "city": "Hamilton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "450132878",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/",
            "affiliation": "N",
            "address_1": "520 Eaton Ave Ste 200",
            "city": "Hamilton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "450132878",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hamilton, OH

Sources for this page

Verify at the official NPI Registry.