Active NPI
Elizabeth Ann Doerr, APN
- Adult Health Nurse Practitioner
- West Berlin, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 26NJ01286400
- Practice address
- 301 N Route 73
West Berlin, NJ 08091-2508 - Phone
- (844) 542-2273
- NPI assigned
- Mar 17, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 26NJ01286400 | NJ | Primary |
Addresses
Primary practice location
301 N Route 73
West Berlin, NJ 08091-2508
Mailing address
301 N Route 73
West Berlin, NJ 08091-2508
Phone (609) 864-4021
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- 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 |
|---|---|---|---|---|
| I20220422002475 | NJ | Practitioner - Nurse Practitioner | 4385031285 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
301 Route 73 N
West Berlin Pands Care
West Berlin, NJ 08091-2508
Phone (856) 922-0058
457 Haddonfield Rd
Suite 110
Cherry Hill, NJ 08002-2223
Phone (844) 542-2273
Hospital & facility affiliations
- Thomas Jefferson University Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ01286400 | NJ | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kennedy Medical Group Practice, P.C. | Current | Accepting new patients | |
| Specialty Medconsultants LLC | Current | Accepting new patients | |
| Kennedy Medical Group Practice PC | Current | Accepting new patients | |
| Kennedy Medical Group Practice, P.C. | Current | Accepting new patients | |
| Kennedy Medical Group Practice P.C. | Past | Accepting new patients |
Locations
457 Haddonfield Rd
Ste 110
Cherry Hill, NJ 08002
Phone (856) 406-4091
354 Hurffville Crosskeys Rd
Bldg 2
Sewell, NJ 08080
Phone (856) 566-3190
6725 Ventnor Ave
Ventnor City, NJ 08406
Phone (609) 350-6780
6725 Ventnor Ave
Ste C
Ventnor City, NJ 08406
Phone (609) 350-6780
443 Laurel Oak Rd
Ste 130
Voorhees, NJ 08043
Phone (856) 741-0122
301 N Route 73
West Berlin, NJ 08091
Phone (856) 557-6020
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Sewell, NJ
- NPI 1952848905
-
- Family Medicine Physician
- Stratford, NJ
- NPI 1437410990
-
- Family Medicine Physician
- West Deptford, NJ
- NPI 1952615981
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1215916002
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740614400000",
"number": "1992453013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 N ROUTE 73",
"city": "WEST BERLIN",
"state": "NJ",
"postal_code": "080912508",
"telephone_number": "609-864-4021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 N ROUTE 73",
"city": "WEST BERLIN",
"state": "NJ",
"postal_code": "080912508",
"telephone_number": "844-542-2273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOERR",
"first_name": "ELIZABETH",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-17",
"last_updated": "2025-02-27",
"certification_date": "2025-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NJ",
"license": "26NJ01286400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Berlin, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2025; 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.