NPIMap

Individual provider Active NPI

Elizabeth Anne Kelly-McKnight, PA-C

  • Physician Assistant
  • Denver, CO
National Provider Identifier
1134556871
Registry record updated Nov 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA0003764 Issued in CO
Practice address
4545 E 9TH Ave
Suite 480
Denver, CO 80220-3904
Phone
(303) 388-9322
Fax
(303) 388-3910
NPI assigned
Sep 26, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA.0003764 CO
Physician Assistant 363A00000X PA0003764 CO Primary

Addresses

Primary practice location

4545 E 9TH Ave
Suite 480
Denver, CO 80220-3904

Mailing address

2090 S. University Blvd
Denver, CO 80210-3904
Phone (303) 388-9322

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140514000666 CO Practitioner - Physician Assistant 9234352568 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Florida College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2350 Meadows Blvd
Castle Rock, CO 80109-8405
Phone (720) 455-0650

2353 Meadows Blvd
Suite 300
Castle Rock, CO 80109-8405
Phone (720) 455-3750

2360 Meadows Blvd
Suite 300
Castle Rock, CO 80109-8405
Phone (303) 715-7106

2525 S Downing St
Denver, CO 80210-5817

2535 D S Downing St
Suite 460
Denver, CO 80210-5817
Phone (303) 744-1065

2535 S Downing St
Denver, CO 80210-5850
Phone (303) 778-5797

7700 S Broadway
Littleton, CO 80122-2602
Phone (303) 730-8900

7720 S Broadway
Littleton, CO 80122-2634

7750 S Broadway
260 South Denver Neurosurgery
Littleton, CO 80122-2623
Phone (303) 734-8650

8200 E Belleview Ave
270E Urrk Urology LT
Greenwood Village, CO 80111-2882
Phone (303) 649-3710

8200 E Belleview Ave
CHPG Neuro a (Precision Spine Ctr Centura H
Greenwood, CO 80111-2899
Phone (303) 790-2225

9395 Crown Crest Blvd
Parker, CO 80138-8573
Phone (303) 269-4975

9399 Crown Crest Blvd
Parker, CO 80138-8571

9403 Crown Crest Blvd
Suite 200
Parker, CO 80138-8991
Phone (303) 730-4400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.96 of 100Reported as group
Quality
78.58
Promoting interoperability
100
Improvement activities
40
Cost
74.61

Merit-based Incentive Payment System (MIPS)

Final score
75.69 of 100Reported as group
Quality
71.4
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA.0003764COMDPhysician Assistant
PA0003764COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Portercare Adventist Health System CurrentSince Mar 22, 2021 Accepting new patients
Portercare Adventist Health System Urology CurrentSince Mar 22, 2021 Accepting new patients
Portercare Adventist Health System Past Accepting new patients

Locations

8200 E Belleview Ave
Ste 270E
Greenwood Village, CO 80111
Phone (303) 649-3710

7750 S Broadway
Ste 260
Littleton, CO 80122
Phone (303) 734-8650

7750 S Broadway
Ste 200
Littleton, CO 80122
Phone (303) 649-3710

9397 Crown Crest Blvd
Ste 201
Parker, CO 80138
Phone (303) 320-0699

Interoperability endpoints

  • Direct secure messaging: ekellymcknight1849638@adventhealth.direct-ci.com

Organizations & group practices 4

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.

Hospital & facility affiliations 11

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": "1380153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383609600000",
    "number": "1134556871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2090 S. UNIVERSITY BLVD",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802103904",
            "telephone_number": "303-388-9322",
            "fax_number": "303-388-3910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 E 9TH AVE",
            "address_2": "SUITE 480",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802203904",
            "telephone_number": "303-388-9322",
            "fax_number": "303-388-3910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY-MCKNIGHT",
        "first_name": "ELIZABETH",
        "middle_name": "ANNE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-26",
        "last_updated": "2013-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0003764",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA0003764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.