Active NPI
Jennifer Kennerk, FNP
- Family Nurse Practitioner
- Orono, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- CNP231234
- Practice address
- 15 Old Kelley Ave
Orono, ME 04473-3402 - Phone
- (207) 802-7732
- Fax
- (207) 348-8745
- NPI assigned
- Jun 5, 2023
- Sex
- Female
- 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 Nurse Practitioner | 363LF0000X | CNP231234 | ME | Primary |
Addresses
Primary practice location
15 Old Kelley Ave
Orono, ME 04473-3402
Mailing address
15 Old Kelley Ave
Orono, ME 04473-3402
Phone (207) 802-7732
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230808001810 | ME | Practitioner - Nurse Practitioner | 3375905383 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Penobscot Community Health Center
Practice addresses (Care Compare)
242 Brunswick St
Old Town, ME 04468-1613
Phone (207) 827-6128
Hospital & facility affiliations
- Northern Light Eastern Maine Medical Center
- St Joseph Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.1 of 100
- Quality
- 64.8
- Promoting interoperability
- 96
- Improvement activities
- 40
- Cost
- 68.87
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bangor Plastic and Hand Surgery, P.a. | Current | Accepting new patients | |
| Renew Health PLLC | Current | Accepting new patients | |
| Penobscot Community Health Center | Current | Accepting new patients | |
| Penobscot Community Health Center | Current | Accepting new patients | |
| Penobscot Community Health Center | Past | Accepting new patients |
Locations
1012 Union St
Ste 1
Bangor, ME 04401
Phone 2079455247407
55 Broadway
Ste 1
Bangor, ME 04401
489 State St
Bangor, ME 04401
Phone (207) 973-8837
55 Broadway
Bangor, ME 04401
Phone (207) 947-0469
242 Brunswick St
Old Town, ME 04468
Phone (207) 827-6128
Organizations & group practices 17
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.
-
- Federally Qualified Health Center (FQHC)
- Bangor, ME
- NPI 1427169010
ME
-
- Surgery of the Hand (Plastic Surgery) Physician
- Bangor, ME
- NPI 1902987506
ME
-
- Federally Qualified Health Center (FQHC)
- Bangor, ME
- NPI 1083259410
-
- Nurse Practitioner
- Orono, ME
- NPI 1871466565
-
- Federally Qualified Health Center (FQHC)
- Belfast, ME
- NPI 1023458320
-
- Federally Qualified Health Center (FQHC)
- Winterport, ME
- NPI 1093136871
-
- Federally Qualified Health Center (FQHC)
- Bangor, ME
- NPI 1174845697
-
- Community/Retail Pharmacy
- Brewer, ME
- NPI 1336467695
-
- Federally Qualified Health Center (FQHC)
- Belfast, ME
- NPI 1356683981
-
- Specialist
- Bangor, ME
- NPI 1427338854
-
- Federally Qualified Health Center (FQHC)
- Bangor, ME
- NPI 1568555498
-
- Federally Qualified Health Center (FQHC)
- Old Town, ME
- NPI 1629161559
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": "1685923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776988800000",
"number": "1982398897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 OLD KELLEY AVE",
"city": "ORONO",
"state": "ME",
"postal_code": "044733402",
"telephone_number": "207-802-7732",
"fax_number": "207-348-8745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 OLD KELLEY AVE",
"city": "ORONO",
"state": "ME",
"postal_code": "044733402",
"telephone_number": "207-802-7732",
"fax_number": "207-348-8745"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNERK",
"first_name": "JENNIFER",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-06-05",
"last_updated": "2026-04-24",
"certification_date": "2026-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "ME",
"license": "CNP231234",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orono, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.