NPIMap

Individual provider Active NPI

Michelle Lynn Kary, PA

  • Physician Assistant
  • Greeley, CO
National Provider Identifier
1780236307
Registry record updated Jul 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0001147 Issued in CO
Practice address
5623 19TH St
Greeley, CO 80634-2901
Phone
(970) 810-9011
NPI assigned
Jul 13, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2019

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 0001147 CO Primary

Addresses

Primary practice location

5623 19TH St
Greeley, CO 80634-2901

Mailing address

305 Habitat CV
Windsor, CO 80550-6129
Phone (970) 373-7675

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
I20190828001569 CO Practitioner - Physician Assistant 4981932993

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Salud Family HealthGroup PAC ID 3173433398, shared by 15 NPIs, 75 clinicians

Practice addresses (Care Compare)

1410 S 7TH Ave
Sterling, CO 80751-4557
Phone (970) 526-2589

Hospital & facility affiliations

  • Sterling Regional Medcenter Hospital, Sterling, CO, CCN 060076
  • Banner North Colorado Medical Center Hospital, Greeley, CO, CCN 060001

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0001147COMDPhysician Assistant

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1562976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562976000000",
    "number": "1780236307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 HABITAT CV",
            "city": "WINDSOR",
            "state": "CO",
            "postal_code": "805506129",
            "telephone_number": "970-373-7675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5623 19TH ST",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806342901",
            "telephone_number": "970-810-9011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARY",
        "first_name": "MICHELLE",
        "middle_name": "LYNN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-13",
        "last_updated": "2019-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "0001147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeley, CO

Sources for this page

Verify at the official NPI Registry.