Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Katheryn Kolker

Individual provider Physician Assistant · NPI 1063377018

Katheryn Kolker is a Physician Assistant in North Liberty, Iowa. Qualified in 2025, 1 year ago. Practices with Mercy Physician Associates Inc, a 103-clinician group and accepts Medicare assignment. Licensed in Iowa.

Years since qualifying
1
Licensed in
IA
In the registry since
2025
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Practice location Address checks out

1765 Lininger Ln
North Liberty, IA 52317-2335
Phone: (319) 665-3053
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (IA)

Record details

NPI number1063377018
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 22, 2025
Last updated in NPPESDecember 22, 2025
Certification dateDecember 22, 2025
Mailing address2315 Landon Rd Apt 307, North Liberty, IA 52317-6513

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Mercy Physician Associates Inc — 103 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in North Liberty