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KERRIE L BAILEY NP
NPI 1790713147
Nurse Practitioner - Adult Health in Brighton, MA

Active since June 28, 2006PECOS EnrolledAccepts Medicare Assignment
11 NEVINS ST. SUITE 406, SEMC - DIGESTIVE DISEASE CENTER, BRIGHTON, MA 02135(617) 462-5432(617) 789-5049 Get Directions Write a Review

NPPES record last updated: March 11, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Mar 11, 2025, Jul 21, 2022, Jul 10, 2017 (3 updates tracked since 2017).

About Kerrie L Bailey Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KERRIE L BAILEY NP (NPI 1790713147) is an individual adult health provider in Brighton, Massachusetts, licensed in Massachusetts (202130) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with St Elizabeth's Medical Center, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1790713147
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameKERRIE L BAILEYCredential: NP
Location Address11 NEVINS ST. SUITE 406, SEMC - DIGESTIVE DISEASE CENTERBrighton, MA 02135
Mailing AddressBmchs Provider Enrollment, 960 Massachusetts Ave Flr 2Boston, MA 02135
Phone(617) 462-5432
Fax(617) 789-5049
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateJune 28, 2006
Last NPPES UpdateMarch 11, 20253 updates tracked since enumeration
NPPES CertifiedMarch 7, 2025
✔ NPI 1790713147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in MA · 202130
Also ListedSpecialistTaxonomy 174400000X · License 202130 (MA)
11 NEVINS ST. SUITE 406, Brighton, MA 02135
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, WellSense Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kerrie L Bailey Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5092728311
PECOS Enrollment IDI20060802000492
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Kerrie Bailey reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Steward Medical Group, Inc
2.2 mi
Specialist
9 GALEN ST
Watertown, MA 02472
  • Reassigned Medicare billing, Massachusetts enrollment
  • 1,103 clinicians in this Medicare group
NPI 1629398219 (615) 467-4474
Bmc Affiliated Physicians, Inc.
3.8 mi
Internal Medicine
1 BOSTON MEDICAL CENTER PLACE
Boston, MA 02118
  • Reassigned Medicare billing, Massachusetts enrollment
  • 716 clinicians in this Medicare group
NPI 1245320910 (617) 789-3000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
120 services61 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
110 services61 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
28 services16 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
15 services15 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
15 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Elizabeth's Medical Center

Acute Care Hospitals · Brighton, MA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number220036
Location736 Cambridge StreetBrighton, MA 02135 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02135 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kerrie Bailey's NPI number?

The NPI number for Kerrie Bailey is 1790713147. It was assigned to this individual provider in the NPPES registry on June 28, 2006.

Where is Kerrie Bailey located?

Kerrie Bailey practices at 11 Nevins St. Suite 406 Semc - Digestive Disease Center, Brighton, MA 02135. The listed phone number is (617) 462-5432.

What is Kerrie Bailey's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Kerrie Bailey enrolled in Medicare?

Yes. Kerrie Bailey is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Kerrie Bailey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kerrie Bailey reassigns Medicare benefits to 2 organizations: Steward Medical Group, Inc (Watertown, MA) and Bmc Affiliated Physicians, Inc. (Boston, MA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kerrie Bailey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kerrie Bailey accept?

Health plans from Anthem Blue Cross and Blue Shield and WellSense Health Plan list Kerrie Bailey as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kerrie Bailey affiliated with any hospitals?

According to CMS data, Kerrie Bailey is affiliated with St Elizabeth's Medical Center.

When was this NPI record last updated?

The NPPES record for Kerrie Bailey was last updated on March 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.