KELSEY E DOUGHERTY PA, MMSC
NPI 1679847560
Physician Assistant - Medical in Aurora, CO

Q: What is Kelsey Dougherty's NPI number?

The NPI number for Kelsey Dougherty is 1679847560. It was assigned to this individual provider in the NPPES registry on February 24, 2012. The provider is also known as Kelsey Moore PA, Mmsc.

Q: What is Kelsey Dougherty's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Kelsey Dougherty was last updated on October 23, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 24, 2012PECOS Enrolled

97.58/100

CMS Quality Rating

12605 E 16TH AVE, AURORA, CO 80045(720) 848-0000 Get Directions Write a Review

NPPES record last updated: October 23, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 23, 2018, Mar 17, 2018, Oct 20, 2017 (3 updates tracked since 2017).

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About Kelsey E Dougherty Pa, Mmsc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELSEY E DOUGHERTY PA, MMSC (NPI 1679847560) is an individual medical provider in Aurora, Colorado, licensed in Colorado (PA.0004227) and active in the NPI registry since February 2012. She is enrolled in Medicare PECOS and maintains a secondary practice location in Aurora.

NPPES Registry Identity

NPI1679847560

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameKELSEY E DOUGHERTYCredential: PA, MMSC

Location Address12605 E 16TH AVEAurora, CO 80045-2545

Mailing AddressPo Box 110429Aurora, CO 80042-0429 · (303) 493-7000

Phone(720) 848-0000

Sole ProprietorNo

Enumeration DateFebruary 24, 2012

Last NPPES UpdateOctober 23, 20183 updates tracked since enumeration

✔ NPI 1679847560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in CO · PA.0004227

Also ListedPhysician AssistantTaxonomy 363A00000X · License PA4364 (MA)

12605 E 16TH AVE, Aurora, CO 80045

Open in Google Maps ↗

Other Names 1

Former Name (1)Kelsey Moore Pa, Mmsc

Secondary Practice Location 1

Location 11635 Aurora Ct, MS B-163Aurora, CO 80045-2541 · Phone (720) 848-0192

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelsey E Dougherty Pa, Mmsc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.58/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

86.53

Promoting Interoperability

100

Improvement Activities

Leave this field empty

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KEVIN BRADLEY ROTHCHILD MD

Surgery (Trauma Surgery)