Individual provider Active NPI

M. Michelle Knepper, MMS PA-C

  • Medical Physician Assistant
  • Clearfield, PA
National Provider Identifier
1043459654
Registry record updated Jul 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA053755 Issued in PA
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, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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, NY5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20160212001536 NC Practitioner - Physician Assistant 7517131279
I20161020002147 WV Practitioner - Physician Assistant 7517131279 Reassigns benefits to 2 organizations
I20170620001805 CA Practitioner - Physician Assistant 7517131279 Reassigns benefits to 2 organizations
I20240308000097 PA Practitioner - Physician Assistant 7517131279 Reassigns benefits to 2 organizations
I20251007003537 NY Practitioner - Physician Assistant 7517131279 Reassigns benefits to 2 organizations

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 HealthcareGroup PAC ID 7618960709, shared by 8 NPIs, 114 clinicians

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 100Reported as group
Promoting interoperability
96
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1977WVMDOccupational Therapist
PA.774ALMDPhysician Assistant
PA54244CAMDPhysician Assistant
25MP00214200NJMDMedical Physician Assistant
MA053755PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
J C Blair Memorial Hospital CurrentSince Jan 24, 2024 Accepting new patients
County of Santa Clara CurrentSince Apr 24, 2017 Accepting new patients
Dubois Regional Medical Center CurrentSince Jan 24, 2024 Accepting new patients
Upstate Ny Physician PLLC CurrentSince Aug 1, 2025 Accepting new patients
St Marys Healthcare CurrentSince Oct 1, 2025 Accepting new patients
J C Blair Memorial Hospital CurrentSince Jan 24, 2024 Accepting new patients
St. Mary's Healthcare CurrentSince Oct 1, 2025 Accepting new patients
County of Santa Clara CurrentSince Apr 24, 2017 Accepting new patients
Redwood Coast Medical Services, Inc. CurrentSince Jan 24, 2022 Accepting new patients
Dubois Regional Medical Center CurrentSince Jan 24, 2024 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.

View all 14

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.