Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Haley Kershaw, PA-C

Individual provider Physician Assistant · NPI 1568005510

Haley Kershaw, PA-C is a Physician Assistant in Boulder, Colorado. Qualified in 2019, 7 years ago. Practices with Creekside Physical Medicine PLLC, a 3-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
7
Licensed in
CO
In the registry since
2019
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

5387 Manhattan Cir Ste 201
Boulder, CO 80303-4283
Phone: (303) 494-2705
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 600 S Airport Rd Ste D, Longmont, CO 80503-6424 — (303) 494-2705

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA0005870 (CO)

Record details

NPI number1568005510
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 22, 2019
Last updated in NPPESMarch 23, 2023
Certification dateMarch 23, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Creekside Physical Medicine Pllc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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