DR. TARA KERNER (DO) – Psychiatry Physician, NPI 1114065125

DR. TARA KERNER (DO) is a healthcare provider. based in Fairfield, Connecticut. specializing in PSYCHIATRY. They hold the professional credentials DO. They hold a License No. 045597 (CT). The NPI Number for DR. TARA KERNER (DO) is 1114065125

Main info

Female
Sole Proprietor
23 Years Of Experience
Accepts Medicare Assignment
Name
DR. TARA KERNER (DO)
NPI
1114065125
Phone
(203) 449-7836
Address
39 SHERMAN CT
Enumeration Date
2 February 2007
Last Update Date
4 August 2022

Doctor Profile

Medical School Name
NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Secondary Phone
2038786365
Graduation Year
2003 (23 years ago)
PAC ID
9234223645
Group Practice PAC ID
3971401365
Professional Enrollment ID
I20070917000181
Address ID
CT064603142MI949XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

851 PSYCHIATRY in CT

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Provider Addresses for DR. TARA KERNER (DO)

  • 39, Sherman Court, Fairfield, Fairfield County, Connecticut, 06824, United States

    FAIRFIELD, CT 068245825

    Phone: (203) 449-7836

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-09-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070917000181IPsychiatryCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06824)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3971401365View full group profile
NameSpecialtyState
Clinical Social WorkerCT
-CT
Mental Health CounselorGA
Nurse PractitionerCT
-CT
Clinical Social WorkerCT
Mental Health CounselorCT
Mental Health CounselorCT
Certified Clinical Nurse Specialist (Cns)CT
Mental Health CounselorCT

Reviews

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Frequently asked questions

What federal number belongs to DR. TARA KERNER (DO)?
The federal identifier for DR. TARA KERNER (DO) is NPI 1114065125.
Does this profile mean DR. TARA KERNER (DO) is currently active?
Yes — DR. TARA KERNER (DO) appears active in the national provider directory.
Does DR. TARA KERNER (DO) list a primary specialty?
If you are matching referrals, note Psychiatry Physician for DR. TARA KERNER (DO). Clinical services aligned with this taxonomy classification.
Does DR. TARA KERNER (DO) practice in Connecticut?
You will see Fairfield, Connecticut on file for DR. TARA KERNER (DO) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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