Patrick Knutson, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

14031189-1206 Issued in UT

Practice address

12405 SE 2ND Cir # 98684
Vancouver, WA 98684-6064

Phone

(360) 839-4532

NPI assigned

Oct 4, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA, OR2 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

Specialty

Physician Assistant

Education

Mid West Medical College, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Vancouver Sleep Center LLCGroup PAC ID 3375850787, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: patrick.knutson.1@20282.direct.athenahealth.com

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.

• Vancouver Sleep Center, LLC

  • Sleep Medicine (Internal Medicine) Physician
  • Vancouver, WA
  • NPI 1285012963

  OR

  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1728000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728000000000",
    "number": "1114746419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 E RICHARD RD",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840937012",
            "telephone_number": "417-402-7327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12405 SE 2ND CIR # 98684",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986846064",
            "telephone_number": "360-839-4532"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2101 NE 139th St Ste 285",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986862326",
            "country_code": "US",
            "telephone_number": "360-839-4532",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1820 E Richard Rd",
            "address_purpose": "LOCATION",
            "city": "Sandy",
            "state": "UT",
            "postal_code": "840937012",
            "country_code": "US",
            "telephone_number": "417-402-7327",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KNUTSON",
        "first_name": "PATRICK",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-10-04",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "14031189-1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peggy A. Knowles, ARNP
• Richard Derrick Knowles, MD
• Ellen Knox
• Tomoko Knudtson
• Kim Denise Knuth, L.M.P
• Emil V. Knysh, L.M.P.
• Yuriy V Knysh, LMP
• Michael Kenneth Koceja, DDS
• Kristin Koch
• Kyle R. Koch, BC-HIS

• Physician Assistant in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Physician Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2024; 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.

Verify at the official NPI Registry.