NPIMap

Individual provider Active NPI

Sherrie K McCoy, PA

  • Surgical Physician Assistant
  • Fruita, CO
National Provider Identifier
1477810810
Registry record updated Aug 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Practice address
1870 J Rd
Fruita, CO 81521-9390
Phone
(970) 778-2474
NPI assigned
Apr 23, 2012
Last updated
Aug 22, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X CO Primary

Addresses

Primary practice location

1870 J Rd
Fruita, CO 81521-9390

Mailing address

1870 J Rd
Fruita, CO 81521-9390
Phone (970) 778-2474

Other identifiers 1

IdentifierTypeStateIssuer
41601360MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, WY2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120813000544 CO Practitioner - Physician Assistant 5890941595 Reassigns benefits to 4 organizations
I20231004002740 WY Practitioner - Physician Assistant 5890941595 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Poudre Valley Medical Group LLCGroup PAC ID 9638208549, 2,425 clinicians

Practice addresses (Care Compare)

1159 Eagle Dr
Urgent Care Eagle Drive
Loveland, CO 80537-8020
Phone (970) 219-5223

221 E 29TH St
Loveland, CO 80538-2746

2819 35TH Ave
Greeley, CO 80634-9421
Phone (970) 652-2801

4404 Barranca LN
Unit 101
Castle Rock, CO 80104-7419
Phone (720) 733-5260

4846 Larimer Pkwy
BLDG 1
Johnstown, CO 80534-9012
Phone (970) 624-2830

5881 W 16TH St
Greeley, CO 80634-2910

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Poudre Valley Medical Group, LLC CurrentSince Jun 10, 2024 Accepting new patients
Colorado Urgent Care PLLC CurrentSince Dec 28, 2022 Accepting new patients
Poudre Valley Medical Group, LLC Past Accepting new patients
Alaska Neuroscience Associates,LLC Past Accepting new patients
Northern Lights Pain Management LLC Past Accepting new patients

Locations

18890 E Hampden Ave
Aurora, CO 80013
Phone (303) 617-1604

4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260

5965 Firestone Blvd
Bldg B
Firestone, CO 80504
Phone (720) 652-7055

2127 E Harmony Rd
Ste 140
Fort Collins, CO 80528
Phone (970) 207-4800

2819 35th Ave
Greeley, CO 80634
Phone (970) 652-2801

5881 W 16th St
Ste A
Greeley, CO 80634
Phone (970) 652-2447

4846 Larimer Pkwy
Bldg 1
Johnstown, CO 80534
Phone (970) 624-2830

2970 Arapahoe Rd
Lafayette, CO 80026
Phone (303) 460-6010

2101 Main St
Longmont, CO 80501
Phone (720) 745-8030

1159 Eagle Dr
Loveland, CO 80537
Phone (970) 219-5223

221 E 29th St
Ste 102
Loveland, CO 80538
Phone (970) 224-3636

2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2403

Organizations & group practices 9

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 18

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 18

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1335139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377129600000",
    "number": "1477810810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1870 J RD",
            "city": "FRUITA",
            "state": "CO",
            "postal_code": "815219390",
            "telephone_number": "970-778-2474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1870 J RD",
            "city": "FRUITA",
            "state": "CO",
            "postal_code": "815219390",
            "telephone_number": "970-778-2474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "SHERRIE",
        "middle_name": "K",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-23",
        "last_updated": "2013-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41601360",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fruita, CO

Sources for this page

Verify at the official NPI Registry.