Individual provider Active NPI

Joseph Anthony Knoll, MSN, ARNP

  • Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1023418126
Registry record updated Apr 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP9309409 Issued in FL
Practice address
8000 S Orange Ave Ste 210
Orlando, FL 32809-6748
Phone
(407) 454-1363
Fax
(863) 229-2576
NPI assigned
Aug 26, 2014
Last updated
Apr 30, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP9309409 FL Primary

Addresses

Primary practice location

8000 S Orange Ave Ste 210
Orlando, FL 32809-6748

Mailing address

8000 S Orange Ave Ste 210
Orlando, FL 32809-6748
Phone (407) 454-1363

Other identifiers 2

IdentifierTypeStateIssuer
Q27GAOtherFLBCBS
015139500MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20150803001967 FL Practitioner - Nurse Practitioner 2860706942 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spektrum HealthGroup PAC ID 8426383258, 2 clinicians

Practice addresses (Care Compare)

2100 N Orange Ave
Suite a
Orlando, FL 32804-5516

5205 S Orange Ave
Suite 110
Orlando, FL 32809-3067
Phone 407454136350001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Spektrum Health CurrentSince Apr 29, 2019 Accepting new patients

Locations

2100 N Orange Ave
Ste A
Orlando, FL 32804
Phone (407) 454-1363

5205 S Orange Ave
Ste 110
Orlando, FL 32809
Phone (407) 454-1363

8000 S Orange Ave
Ste 210
Orlando, FL 32809
Phone (407) 454-1363

Interoperability endpoints

  • Direct secure messaging: joseph.knoll@3429.securemail.prognocis.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1409011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556582400000",
    "number": "1023418126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8000 S ORANGE AVE STE 210",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328096748",
            "telephone_number": "407-454-1363",
            "fax_number": "863-229-2576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 S ORANGE AVE STE 210",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328096748",
            "telephone_number": "407-454-1363",
            "fax_number": "863-229-2576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOLL",
        "first_name": "JOSEPH",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "MSN, ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-26",
        "last_updated": "2019-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9309409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Q27GA",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015139500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.