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

Keith Fertey Moy, PASTUDENT

Individual provider Physician Assistant · NPI 1275171795

Keith Fertey Moy, PASTUDENT is a Physician Assistant in Elk River, Minnesota. Qualified in 2020, 6 years ago. Practices with Group Health Plan Inc, a 1,633-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
6
Licensed in
MN
In the registry since
2019
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

530 3rd St NW
Elk River, MN 55330-1445
Phone: (763) 587-4800
Fax: (763) 587-4845
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 13657 (MN)

Record details

NPI number1275171795
Entity typeIndividual (Type 1)
GenderMale
Credentials PASTUDENT
Sole proprietorNo
NPI enumeratedDecember 16, 2019
Last updated in NPPESSeptember 9, 2021
Certification dateSeptember 9, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Group Health Plan Inc — 1633 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients95
Services billed 366 a service is one billed item, such as a visit, a test or a procedure
Average patient age71

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

  • Mercy Hospital Hospital · Coon Rapids, MN

Colleagues at Group Health Plan Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 1633 clinicians in the practice; 12 are shown here.

Other providers in Elk River