Individual provider Active NPI

Jennifer Ariel Knips, PA

  • Physician Assistant
  • Boca Raton, FL
National Provider Identifier
1093185670
Registry record updated Oct 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9109088 Issued in FL
Practice address
800 Meadows Rd
Boca Raton, FL 33486-2304
Phone
(561) 955-4600
Fax
(833) 625-1604
NPI assigned
Sep 25, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9109088 FL Primary

Addresses

Primary practice location

800 Meadows Rd
Boca Raton, FL 33486-2304

Mailing address

1001 NW 13TH St Ste 201
Boca Raton, FL 33486-2269
Phone (561) 955-6663

Other practice location 1

801 S University Dr Ste C136
Plantation, FL 33324-3366
Phone (954) 642-2530

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
I20180122001865 FL Practitioner - Physician Assistant 8921367855 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bocacare IncGroup PAC ID 3870633753, 196 clinicians

Practice addresses (Care Compare)

800 Meadows Rd
Boca Raton, FL 33486-2304
Phone (561) 955-7100

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bocacare Inc CurrentSince Nov 7, 2022 Accepting new patients
Bocacare Inc CurrentSince Nov 7, 2022 Accepting new patients
South Broward Hospital District CurrentSince Nov 8, 2017 Accepting new patients
South Broward Hospital District CurrentSince Nov 8, 2017 Accepting new patients
Professional Healthcare Associates LLC Past Accepting new patients

Locations

1001 NW 13th St
Ste 201
Boca Raton, FL 33486
Phone (561) 864-7853

800 Meadows Rd
Boca Raton, FL 33486
Phone (561) 395-7100

1150 N 35th Ave
Ste 600
Hollywood, FL 33021
Phone (954) 265-5969

2900 Corporate Way
#D
Miramar, FL 33025
Phone (954) 276-5581

3501 Johnson St
Pembroke Park, FL 33021
Phone (954) 265-2000

Interoperability endpoints

  • Direct secure messaging: jennifer.knips.1@26289.direct.athenahealth.com

Organizations & group practices 7

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

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": "1443139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666828800000",
    "number": "1093185670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 NW 13TH ST STE 201",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334862269",
            "telephone_number": "561-955-6663",
            "fax_number": "561-955-2879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 MEADOWS RD",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334862304",
            "telephone_number": "561-955-4600",
            "fax_number": "833-625-1604"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 S University Dr Ste C136",
            "address_purpose": "LOCATION",
            "city": "Plantation",
            "state": "FL",
            "postal_code": "333243366",
            "country_code": "US",
            "telephone_number": "954-642-2530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KNIPS",
        "first_name": "JENNIFER",
        "middle_name": "ARIEL",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-25",
        "last_updated": "2022-10-27",
        "certification_date": "2022-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9109088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.