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

Mary Kelley McCormick, PA-XC

Individual provider Physician Assistant · NPI 1477724060

Mary Kelley McCormick, PA-XC is a Physician Assistant in Seattle, Washington. Qualified in 2006, 20 years ago. Practices with Scl Health Medical Group - Billings LLC, a 292-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Montana and Washington.

Years since qualifying
20
Licensed in
MT, WA
In the registry since
2008
Specialties on file
2
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Practice location Address checks out

201 16th Ave E
Seattle, WA 98112-5226
Phone: (206) 326-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1344 Wintergreen Ln Ne, Bainbridge Island, WA 98110-5147 — (206) 855-7600

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA60471575 (WA)
Physician Assistant Taxonomy 363A00000X · Licence 504 (MT)

Record details

NPI number1477724060
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-XC
Sole proprietorNo
NPI enumeratedMarch 21, 2008
Last updated in NPPESApril 27, 2021
Certification dateApril 27, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Scl Health Medical Group - Billings Llc — 292 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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