Individual provider Active NPI

Kerry Murphy Utstein, PA-C

  • Physician Assistant
  • Cobleskill, NY
National Provider Identifier
1306928775
Registry record updated Sep 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
011514 Issued in NY
Practice address
178 Grandview Dr
Cobleskill, NY 12043-5144
Phone
(518) 254-3456
NPI assigned
Oct 19, 2006
Last updated
Sep 29, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2022

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 PA9104995 FL
Physician Assistant 363A00000X 011514 NY Primary

Addresses

Primary practice location

178 Grandview Dr
Cobleskill, NY 12043-5144

Mailing address

1 Atwell Rd
Cooperstown, NY 13326-1394
Phone (607) 547-3480

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070613000027 NY Practitioner - Physician Assistant 1456459577 Reassigns benefits to 5 organizations
I20110114000821 FL Practitioner - Physician Assistant 1456459577 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
George Washington University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mary Imogene Bassett HospitalGroup PAC ID 3779488325, 780 clinicians

Practice addresses (Care Compare)

1 Associate Dr
Oneonta, NY 13820-2266
Phone (607) 433-6300

178 Grandview Dr
Cobleskill, NY 12043-5144
Phone (518) 254-3456

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA9104995FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
FL-I Medical Services, LLC Physician Assistant CurrentSince Mar 25, 2015 Accepting new patients
Mary Imogene Bassett Hospital CurrentSince Sep 26, 2022 Accepting new patients
Phoenix Emergency Medicine of Broward LLC CurrentSince Dec 8, 2012 Accepting new patients
FL-I Medical Services LLC Physician Assistant CurrentSince Mar 25, 2015 Accepting new patients
Phoenix Emergency Medicine of Broward LLC CurrentSince Dec 8, 2012 Accepting new patients
Mary Imogene Bassett Hospital CurrentSince Sep 26, 2022 Accepting new patients
St. Mary's Healthcare CurrentSince Sep 10, 2020 Accepting new patients
Marshall Amaya & Anton P L Physician Assistant Past Accepting new patients
Maryland Provo-I Medical Services, PC Physician Assistant Past Accepting new patients
Mayer and Cope Family Practice LLP PastSince Jul 1, 1990 Accepting new patients
Caton Emergency Physicians Physician Assistant Past Accepting new patients

Locations

1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000

1600 S Andrews Ave
Ft Lauderdale, FL 33316
Phone (954) 355-4000

3663 S Miami Ave
Miami, FL 33133
Phone (305) 285-2131

3000 Coral Hills Dr
Pompano Beach, FL 33065
Phone (954) 344-3000

380 Guy Park Ave
Amsterdam, NY 12010
Phone (518) 841-7415

427 Guy Park Ave
Amsterdam, NY 12010
Phone (518) 442-1404

178 Grandview Dr
Cobleskill, NY 12043
Phone (518) 254-3456

1 Atwell Rd
Cooperstown, NY 13326
Phone (607) 547-3480

460 Andes Rd
Delhi, NY 13753
Phone (607) 746-0300

140 Burwell St
Little Falls, NY 13365
Phone (315) 823-1000

4580 State Highway 28
Milford, NY 13807
Phone (607) 547-6542

1 Associate Dr
Oneonta, NY 13820
Phone (607) 433-6300

Interoperability endpoints

  • Direct secure messaging: kutstein@directaddress.net
  • Direct secure messaging: kutstein362617@bassett.direct-ci.net

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 5

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": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664409600000",
    "number": "1306928775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ATWELL RD",
            "city": "COOPERSTOWN",
            "state": "NY",
            "postal_code": "133261394",
            "telephone_number": "607-547-3480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "178 GRANDVIEW DR",
            "city": "COBLESKILL",
            "state": "NY",
            "postal_code": "120435144",
            "telephone_number": "518-254-3456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UTSTEIN",
        "first_name": "KERRY",
        "middle_name": "MURPHY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9104995",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "011514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cobleskill, NY

Sources for this page

Verify at the official NPI Registry.