Roberta Ann Knittle, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601003144 Issued in MI

Practice address

7575 Grand River Rd
Urgent Care
Brighton, MI 48114-9309

Phone

(810) 844-7511

Fax

(810) 844-7512

NPI assigned

Mar 20, 2006

Last updated

Dec 28, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Springfield Urgent Care PLLCGroup PAC ID 3971869942, 26 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rknittle24838@direct.trinity-health.org
• Direct secure messaging: roberta.knittle.1@31854.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Springfield Urgent Care, P.L.L.C.

  • Urgent Care Clinic/Center
  • Clarkston, MI
  • NPI 1144747460
  Medicare reassignment Care Compare group
• Saint Joseph Mercy Livingston Hospital

  • Emergency Medicine Physician
  • Brighton, MI
  • NPI 1285753236
  Medicare reassignment NPD
• Saint Joseph Mercy Livingston Hospital

  • General Acute Care Hospital
  • Brighton, MI
  • NPI 1093748642
  NPD
• Sjmhs Anesthesia Services

  • Certified Registered Nurse Anesthetist
  • Brighton, MI
  • NPI 1205271996
  NPD
• Lansing Urgent Care, PLC

  • Urgent Care Clinic/Center
  • Lansing, MI
  • NPI 1780987990
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640649600000",
    "number": "1013976968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9650 BLUEWATER DR",
            "city": "PINCKNEY",
            "state": "MI",
            "postal_code": "481698419",
            "telephone_number": "810-231-6017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7575 GRAND RIVER RD",
            "address_2": "URGENT CARE",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481149309",
            "telephone_number": "810-844-7511",
            "fax_number": "810-844-7512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNITTLE",
        "first_name": "ROBERTA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-20",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601003144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rknittle24838@direct.trinity-health.org",
            "affiliation": "N",
            "endpointDescription": "Trinity Health Michigan direct email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "7575 Grand River Rd",
            "address_2": "Urgent Care",
            "city": "Brighton",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481149309",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kristin Kinstler, MD, PHD
• Kiara Kirkland
• Celine Mary Klecker, LPC
• Melanie Klenk, CNP
• Lisa Marie Klink, R.N.
• June Ko
• Ellen I Koch, PHD
• Debbie Koeltzow, EDD, LP
• Carly Komaromi
• Jacqueline Lee Konley, LMSW

• Physician Assistant in Brighton, MI
• Providers in Brighton, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.