Individual provider Active NPI

Elizabeth Knudsen, CRNP

  • Gerontology Nurse Practitioner
  • Philadelphia, PA
National Provider Identifier
1104466853
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
SP026449 Issued in PA
Practice address
3701 Market Street
7TH Floor, Suite 741
Philadelphia, PA 19104-5502
Phone
(516) 428-9058
NPI assigned
Jan 10, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X SP026449 PA Primary

Addresses

Primary practice location

3701 Market Street
7TH Floor, Suite 741
Philadelphia, PA 19104-5502

Mailing address

3701 Market Street
7TH Floor
Philadelphia, PA 19104
Phone (516) 428-9058

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, DC2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20221128001713 PA Practitioner - Nurse Practitioner 6800227182 Reassigns benefits to 1 organization
I20240909004709 DC Practitioner - Nurse Practitioner 6800227182 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comprehensive Primary Care and Associates LLCGroup PAC ID 5092991984, 167 clinicians
Capital Healthcare PCGroup PAC ID 3779723309, 102 clinicians

Practice addresses (Care Compare)

15245 Shady Grove Rd
Suite 150
Rockville, MD 20850-7210
Phone (301) 869-9776

6020 Richmond Hwy
Suite 102
Alexandria, VA 22303-2157
Phone (571) 308-6776

Capital Healthcare PC
Allcare Rhode Island
Washington, DC 20036-3007
Phone (202) 787-1979

Merit-based Incentive Payment System (MIPS)

Final score
95.13 of 100Reported as apm
Quality
90.26
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
84.91 of 100Reported as group
Quality
73.58
Promoting interoperability
100
Improvement activities
40
Cost
76.13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP026449PAMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Primary Care and Associates LLC CurrentSince Nov 1, 2025 Accepting new patients
University of Penn - Medical Group CurrentSince Dec 18, 2022 Accepting new patients
Capital Healthcare PC CurrentSince Jul 1, 2024 Accepting new patients
University of Penn-Medical Group CurrentSince Dec 18, 2022 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Capital Healthcare PC Dba Allcare Past Accepting new patients
Allcare Ga PC Past Accepting new patients

Locations

811 2nd St SE
Washington, DC 20003
Phone (202) 964-2202

315 H St NE
Ste A
Washington, DC 20002
Phone (202) 975-0100

1710 Rhode Island Ave NW
Frnt 1
Washington, DC 20036

3500 Wisconsin Ave NW
Washington, DC 20016
Phone (202) 975-0070

4340 Connecticut Ave NW
Washington, DC 20008
Phone (202) 800-8647

1710 Rhode Island Ave NW
Washington, DC 20036
Phone (202) 787-1979

15245 Shady Grove Rd
Ste 150
Rockville, MD 20850
Phone (667) 303-1042

15825 Shady Grove Rd
Ste 140
Rockville, MD 20850
Phone (301) 519-2118

15245 Shady Grove Rd
Ste 340
Rockville, MD 20850

3624 Market St
Fl 2
Philadelphia, PA 19104
Phone (215) 615-3669

3701 Market St
Fl 7
Philadelphia, PA 19104
Phone (215) 349-5200

3701 Market St
Ste 741
Philadelphia, PA 19104
Phone (215) 349-5200

6020 Richmond Hwy
Ste 102
Alexandria, VA 22303
Phone (267) 978-1993

Interoperability endpoints

  • Direct secure messaging: elizabeth.knudsen.1@15482.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.

NPI Registry JSON

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

{
    "created_epoch": "1578614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1104466853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 MARKET STREET",
            "address_2": "7TH FLOOR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19104",
            "telephone_number": "516-428-9058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 MARKET STREET",
            "address_2": "7TH FLOOR, SUITE 741",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191045502",
            "telephone_number": "516-428-9058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNUDSEN",
        "first_name": "ELIZABETH",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-10",
        "last_updated": "2024-07-18",
        "certification_date": "2022-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "PA",
            "license": "SP026449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.