NPIMap

Individual provider Active NPI

Kelly Morris Doering, PA-C

  • Physician Assistant
  • Aspen, CO
National Provider Identifier
1245999788
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.0006996 Issued in CO
Practice address
0401 Castle Creek Rd
Aspen, CO 81611
Phone
(970) 925-1120
Fax
(970) 544-1585
NPI assigned
Dec 13, 2021
Last updated
Jan 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2024

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.0006996 CO Primary

Addresses

Primary practice location

0401 Castle Creek Rd
Aspen, CO 81611

Mailing address

0401 Castle Creek Rd
Aspen, CO 81611
Phone (970) 925-1120

Other names 1

  • Kelly Marie Morris Former name

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
I20221121001308 CO Practitioner - Physician Assistant 1456729508 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aspen Valley Hospital DistrictGroup PAC ID 9234123266, 38 clinicians

Practice addresses (Care Compare)

401 Castle Creek Rd
Aspen, CO 81611-1159
Phone (970) 925-1120

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA.0006996COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Aspen Valley Hospital District CurrentSince Nov 1, 2022 Accepting new patients
Aspen Valley Hospital District CurrentSince Jul 1, 2025 Accepting new patients
Aspen Valley Hospital District CurrentSince Nov 1, 2022 Accepting new patients
Aspen Valley Hospital Clinics, PLLC Past Accepting new patients
Aspen Valley Hospital District Clinics Past Accepting new patients
Mountain View Pain Center PastSince Dec 1, 2021 Accepting new patients
Mountain View Pain Specialists PastSince Dec 1, 2021 Accepting new patients

Locations

401 Castle Creek Rd
Aspen, CO 81611
Phone (970) 544-1192

Interoperability endpoints

  • FHIR API: https://epicproxy.et1254.epichosted.com/FHIRProxy/api/FHIR/R4/

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1639353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1245999788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "0401 CASTLE CREEK RD",
            "city": "ASPEN",
            "state": "CO",
            "postal_code": "81611",
            "telephone_number": "970-925-1120",
            "fax_number": "970-544-1585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "0401 CASTLE CREEK RD",
            "city": "ASPEN",
            "state": "CO",
            "postal_code": "81611",
            "telephone_number": "970-925-1120",
            "fax_number": "970-544-1585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOERING",
        "first_name": "KELLY",
        "middle_name": "MORRIS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-13",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0006996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "MORRIS",
            "middle_name": "MARIE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Aspen, CO

Sources for this page

Verify at the official NPI Registry.