Kerry Lynn Cox, PA-C
Individual provider Active NPI Physician Assistant · Roy, UT
NPI 1992477632 · NPPES record last updated Jan 24, 2025
Key facts
- NPI
- 1992477632
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 10621074-1206 (UT)
- Practice address
- 3485 W 5200 S
Roy, UT 84067-9438 - Phone
- (801) 475-3900
- Fax
- (801) 475-3901
- NPI assigned
- Oct 1, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ogden Clinic PC
Practice addresses (Care Compare)
3485 W 5200
Ogden Clinic Grand View
Roy, UT 84067-9438
Phone (801) 475-3900
5495 S 500
Suite 310
Ogden, UT 84405-7409
Phone (801) 475-3100
6112 S 1550
Ogden, UT 84405-5007
Phone (801) 475-3800
Hospital & facility affiliations
- Symbii Home Health
- Ogden Regional Medical Center
- Holy Cross Hospital-Davis
- Intermountain Health McKay-Dee Hospital
- Intermountain Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230616002489 | UT | Practitioner - Physician Assistant | 6204294648 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10621074-1206 | UT | MD | Physician Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 10621074-1206 | UT | Yes |
Addresses
Primary practice location
3485 W 5200 S
Roy, UT 84067-9438
Mailing address
PO Box 5546
Denver, CO 80217-5546
Phone (801) 475-3500
Other providers in Roy, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 24, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.