Individual provider Active NPI

Keri Ann McKay, PA-C

  • Physician Assistant
  • Sterling, CO
National Provider Identifier
1154696193
Registry record updated Mar 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA-3397 Issued in CO
Practice address
12101 Highway 61
Clinical Services Department
Sterling, CO 80751-8428
Phone
(970) 521-8814
Fax
(970) 521-8815
NPI assigned
Mar 8, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA-3397 CO Primary

Addresses

Primary practice location

12101 Highway 61
Clinical Services Department
Sterling, CO 80751-8428

Mailing address

12101 Highway 61
Clinical Services Department
Sterling, CO 80751-8428
Phone (970) 521-8814

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20150113000806 CO Practitioner - Physician Assistant 8628392032 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sterling Regional MedcenterGroup PAC ID 8022928050, 12 clinicians
Family Care ClinicGroup PAC ID 6608788831, 10 clinicians

Practice addresses (Care Compare)

102 Hays Ave
Sterling, CO 80751-2866
Phone (970) 521-3223

615 Fairhurst St
Sterling, CO 80751-4523

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA-3397COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sterling Regional Medcenter CurrentSince Jun 23, 2018 Accepting new patients
Sterling Regional Medcenter CurrentSince Jun 23, 2018 Accepting new patients
Colorado Department of Corrections PastSince Jun 29, 2025 Accepting new patients
East Morgan County Hospital Past Accepting new patients

Locations

615 Fairhurst St
Sterling, CO 80751
Phone (970) 521-0322

102 Hays Ave
Sterling, CO 80751
Phone (970) 521-3223

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 3

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": "1331164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331164800000",
    "number": "1154696193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12101 HIGHWAY 61",
            "address_2": "CLINICAL SERVICES DEPARTMENT",
            "city": "STERLING",
            "state": "CO",
            "postal_code": "807518428",
            "telephone_number": "970-521-8814",
            "fax_number": "970-521-8815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12101 HIGHWAY 61",
            "address_2": "CLINICAL SERVICES DEPARTMENT",
            "city": "STERLING",
            "state": "CO",
            "postal_code": "807518428",
            "telephone_number": "970-521-8814",
            "fax_number": "970-521-8815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKAY",
        "first_name": "KERI",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-08",
        "last_updated": "2012-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA-3397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling, CO

Sources for this page

Verify at the official NPI Registry.