Kelly Coy

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

50.005656RX Issued in OH

Practice address

2400 Lakeview Dr Ste 100
Beavercreek, OH 45431-2581

Phone

(937) 429-4369

Fax

(937) 429-4575

NPI assigned

Aug 3, 2018

Last updated

Jul 1, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kelly Sutherin Former name

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Physician Assistant

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Mvhe IncGroup PAC ID 9537066584, 399 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Miami Valley Hospital Hospital, Dayton, OH, CCN 360051

Merit-based Incentive Payment System (MIPS)

Final score

87.23 of 100Reported as group

Quality

83.64

Promoting interoperability

100

Improvement activities

40

Cost

73.78

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Mvhe Inc

  • Family Medicine Physician
  • Moraine, OH
  • NPI 1659504785
  Medicare reassignment Care Compare group
• Mvhe Inc

  dba Miami Valley Hospitalist Group

  • Hospitalist Physician
  • Dayton, OH
  • NPI 1356394795

  Physician Assistant

  NPD
• Mvhe Inc

  dba Middletown Medical Group

  • Internal Medicine Physician
  • Middletown, OH
  • NPI 1497154827
  NPD

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

• Miami Valley Hospital

  • General Acute Care Hospital
  • Dayton, OH
  • NPI 1073688354
  Care Compare affiliation

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

{
    "created_epoch": "1533254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1942788799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3170 KETTERING BLVD BLDG B",
            "city": "MORAINE",
            "state": "OH",
            "postal_code": "454391924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 LAKEVIEW DR STE 100",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454312581",
            "telephone_number": "937-429-4369",
            "fax_number": "937-429-4575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COY",
        "first_name": "KELLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-03",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.005656RX",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0307792",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "SUTHERIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Andrew Burgess Correll
• Nancy Elizabeth Costa, D.O.
• Despina Costandinidis, LISW
• Jordan Christian Councell, MD
• Constance M Cox, CRNA
• Heather Crago-Weston
• Jill Craig, LD, CNS
• Joseph Robert Crawford, DO
• Meghan E Crawford
• Steven Warren Crawford, MD

• Physician Assistant in Beavercreek, OH
• Providers in Beavercreek, OH by specialty
• Physician Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.