Individual provider Active NPI

Laura Kathleen Gerrity, PA-C

  • Physician Assistant
  • Fort Collins, CO
National Provider Identifier
1669769584
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.0008049 Issued in CO
Practice address
2860 E Harmony Rd Ste 110
Fort Collins, CO 80528-9510
Phone
(970) 235-8153
Fax
(889) 721-1912
NPI assigned
Jun 29, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 2779-23 WI
Physician Assistant 363A00000X PA.0008049 CO Primary

Addresses

Primary practice location

2860 E Harmony Rd Ste 110
Fort Collins, CO 80528-9510

Mailing address

2920 Telegraph Ave Ste 100
Berkeley, CA 94705-2031
Phone (844) 234-7741

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
I20240119002081 CO Practitioner - Physician Assistant 3971772864 Reassigns benefits to 2 organizations

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
Sunrise Community HealthGroup PAC ID 0648164780, 51 clinicians

Practice addresses (Care Compare)

100 N 11TH Ave
Greeley, CO 80631-2011
Phone (970) 352-8898

1010 A St
Greeley, CO 80631-2021
Phone (970) 313-0400

302 3Rd St SE
Loveland, CO 80537-6419
Phone (970) 669-4855

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2779-23WIMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Carbon Health Medical Group of Florida PA CurrentSince Jan 25, 2024 Accepting new patients
Carbon Health Medical Group of Florida PA CurrentSince Jan 25, 2024 Accepting new patients
Sunrise Community Health Past Accepting new patients

Locations

2920 Telegraph Ave
Ste 100
Berkeley, CA 94705
Phone (415) 549-0212

2860 E Harmony Rd
Ste 110
Fort Collins, CO 80528
Phone (970) 235-8153

9116 W Bowles Ave
Ste 3A
Littleton, CO 80123
Phone (303) 904-2600

Interoperability endpoints

  • Direct secure messaging: laura.gerrity.1@27043.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1309305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704412800000",
    "number": "1669769584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2920 TELEGRAPH AVE STE 100",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052031",
            "telephone_number": "844-234-7741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2860 E HARMONY RD STE 110",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805289510",
            "telephone_number": "970-235-8153",
            "fax_number": "889-721-1912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERRITY",
        "first_name": "LAURA",
        "middle_name": "KATHLEEN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-29",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WI",
            "license": "2779-23",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0008049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.