Individual provider Active NPI

Holly Nicole McCoy, PA-C

  • Medical Physician Assistant
  • Durango, CO
National Provider Identifier
1366811366
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA.0007012 Issued in CO
Practice address
810 E 3Rd St Unit 201
Durango, CO 81301-5759
Phone
(970) 764-7190
Fax
(970) 375-7927
NPI assigned
Sep 20, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA.0007012 CO Primary
Physician Assistant 363A00000X PA.0007012 CO
Physician Assistant 363A00000X PA.200883 LA

Addresses

Primary practice location

810 E 3Rd St Unit 201
Durango, CO 81301-5759

Mailing address

PO Box 802793
Kansas City, MO 64180-2793
Phone (800) 953-0104

Other practice location 1

1 Mercado St Ste 160
Durango, CO 81301-7309
Phone (970) 385-9850

Other practice location 2

480 Wolverine Dr Ste 3
Bayfield, CO 81122-9653
Phone (970) 764-9150

Other identifiers 1

IdentifierTypeStateIssuer
9000198602MedicaidCO

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
I20211206001253 CO Practitioner - Physician Assistant 8921300807 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Total HealthcareGroup PAC ID 1052214814, 27 clinicians

Practice addresses (Care Compare)

1 Mercado St
Suite 160
Durango, CO 81301-7309
Phone (970) 385-9850

480 Wolverine Dr
3 Prbypc Bayfield
Bayfield, CO 81122-9653
Phone (970) 764-9150

810 E 3Rd St
201 PRMN PC Mercy North
Durango, CO 81301-5759
Phone (970) 764-1790

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA.200883LAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Total Healthcare CurrentSince Jan 1, 2022 Accepting new patients
Catholic Health Initiatives Colorado Past Accepting new patients
Total Healthcare Past Accepting new patients

Locations

480 Wolverine Dr
Ste 3
Bayfield, CO 81122
Phone (970) 764-9150

810 E 3rd St
Unit 201
Durango, CO 81301
Phone (970) 764-1790

1 Mercado St
Ste 160
Durango, CO 81301
Phone (970) 385-9850

1010 Three Springs Blvd
Durango, CO 81301
Phone (970) 247-4311

Interoperability endpoints

  • Direct secure messaging: hmccoy73184@direct.phhs.org

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 8

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": "1442707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781568000000",
    "number": "1366811366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 802793",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641802793",
            "telephone_number": "800-953-0104",
            "fax_number": "303-765-6670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 E 3RD ST UNIT 201",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813015759",
            "telephone_number": "970-764-7190",
            "fax_number": "970-375-7927"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Mercado St Ste 160",
            "address_purpose": "LOCATION",
            "city": "Durango",
            "state": "CO",
            "postal_code": "813017309",
            "country_code": "US",
            "telephone_number": "970-385-9850",
            "fax_number": "970-385-9854",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "480 Wolverine Dr Ste 3",
            "address_purpose": "LOCATION",
            "city": "Bayfield",
            "state": "CO",
            "postal_code": "811229653",
            "country_code": "US",
            "telephone_number": "970-764-9150",
            "fax_number": "970-764-9159",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "HOLLY",
        "middle_name": "NICOLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-20",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "PA.0007012",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0007012",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "PA.200883",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000198602",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durango, CO

Sources for this page

Verify at the official NPI Registry.