Active NPI
M. Michelle Knepper, MMS PA-C
- Medical Physician Assistant
- Clearfield, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- MA053755
- Practice address
- 809 Turnpike Ave
Clearfield, PA 16830-1232 - Phone
- (814) 375-3489
- Fax
- (804) 503-4498
- NPI assigned
- Feb 5, 2009
- Last updated
- Jul 31, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA.774 | AL | |
| Physician Assistant | 363A00000X | PA54244 | CA | |
| Medical Physician Assistant | 363AM0700X | 25MP00214200 | NJ | |
| Medical Physician Assistant | 363AM0700X | MA053755 | PA | Primary |
Addresses
Primary practice location
809 Turnpike Ave
Clearfield, PA 16830-1232
Mailing address
PO Box 620606
Fort Novosel, AL 36362-0606
Phone (334) 255-7000
Other practice location 1
301 Andrews Ave
Lyster Army Health Clinic
Fort Rucker, AL 36362
Phone (334) 255-7000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, WV, CA, PA, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St. Mary's Healthcare
Practice addresses (Care Compare)
4950 State Hwy 30
Amsterdam, NY 12010-7520
Phone (518) 541-3600
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.6 of 100
- Promoting interoperability
- 96
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1977 | WV | MD | Occupational Therapist |
| PA.774 | AL | MD | Physician Assistant |
| PA54244 | CA | MD | Physician Assistant |
| 25MP00214200 | NJ | MD | Medical Physician Assistant |
| MA053755 | PA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| J C Blair Memorial Hospital | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients | |
| Dubois Regional Medical Center | Current | Accepting new patients | |
| Upstate Ny Physician PLLC | Current | Accepting new patients | |
| St Marys Healthcare | Current | Accepting new patients | |
| J C Blair Memorial Hospital | Current | Accepting new patients | |
| St. Mary's Healthcare | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients | |
| Redwood Coast Medical Services, Inc. | Current | Accepting new patients | |
| Dubois Regional Medical Center | Current | Accepting new patients |
Locations
751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110
380 Guy Park Ave
Amsterdam, NY 12010
Phone (518) 841-7415
427 Guy Park Ave
Amsterdam, NY 12010
Phone (518) 442-1404
4950 State Highway 30
Amsterdam, NY 12010
Phone (518) 770-7557
809 Turnpike Ave
Clearfield, PA 16830
Phone (814) 765-5341
100 Hospital Ave
Dubois, PA 15801
Phone (814) 375-2040
100 Hospital Ave
Ofc
Dubois, PA 15801
1225 Warm Springs Ave
Huntingdon, PA 16652
Phone (814) 643-8206
Organizations & group practices 14
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.
-
dba Penn Highlands DuBois Emergency Department
- Emergency Medicine Physician
- Du Bois, PA
- NPI 1992802391
-
- Federally Qualified Health Center (FQHC)
- Gualala, CA
- NPI 1962530725
-
- General Acute Care Hospital
- Amsterdam, NY
- NPI 1518926401
-
- Emergency Medicine Physician
- Amsterdam, NY
- NPI 1487484523
-
- General Acute Care Hospital
- Huntingdon, PA
- NPI 1790996445
-
- Emergency Medicine Physician
- Huntington, WV
- NPI 1487109104
-
dba Josefina Narvaez Mental Health Center MH Aoa
- Mental Health Clinic/Center (Including Community Mental Health Center)
- San Jose, CA
- NPI 1699885079
-
- Emergency Medicine Physician
- Huntington, WV
- NPI 1588196851
-
dba Penn Highlands Huntingdon
- Internal Medicine Physician
- Huntingdon, PA
- NPI 1093558587
-
dba Penn Highlands Community Pharmacy State College
- Pharmacy
- State College, PA
- NPI 1588408520
-
dba Neuropsychological Assessment Clinic
- Clinic/Center
- San Jose, CA
- NPI 1154906634
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Amsterdam, NY
- NPI 1811977796
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690761600000",
"number": "1043459654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 620606",
"city": "FORT NOVOSEL",
"state": "AL",
"postal_code": "363620606",
"telephone_number": "334-255-7000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "809 TURNPIKE AVE",
"city": "CLEARFIELD",
"state": "PA",
"postal_code": "168301232",
"telephone_number": "814-375-3489",
"fax_number": "804-503-4498"
}
],
"practiceLocations": [
{
"address_1": "301 Andrews Ave",
"address_2": "Lyster Army Health Clinic",
"address_purpose": "LOCATION",
"city": "Fort Rucker",
"state": "AL",
"postal_code": "36362",
"country_code": "US",
"telephone_number": "334-255-7000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KNEPPER",
"first_name": "M. MICHELLE",
"name_prefix": "Mrs.",
"credential": "MMS PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-05",
"last_updated": "2023-07-31",
"certification_date": "2023-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AL",
"license": "PA.774",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA54244",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NJ",
"license": "25MP00214200",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "PA",
"license": "MA053755",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clearfield, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; 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.