Individual provider Active NPI

Jennifer Kennerk, FNP

  • Family Nurse Practitioner
  • Orono, ME
National Provider Identifier
1982398897
Registry record updated Apr 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP231234 Issued in ME
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

Updated by the provider on Apr 24, 2026

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 135 clinicians

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 Hospital, Bangor, ME, CCN 200033
  • St Joseph Hospital Hospital, Bangor, ME, CCN 200001

Merit-based Incentive Payment System (MIPS)

Final score
84.1 of 100Reported as group
Quality
64.8
Promoting interoperability
96
Improvement activities
40
Cost
68.87

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bangor Plastic and Hand Surgery, P.a. CurrentSince Apr 1, 2025 Accepting new patients
Renew Health PLLC CurrentSince Oct 5, 2025 Accepting new patients
Penobscot Community Health Center CurrentSince Aug 15, 2025 Accepting new patients
Penobscot Community Health Center CurrentSince Aug 15, 2025 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.

View all 17

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

Verify at the official NPI Registry.