Daniel Thomas Knudsen, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1145170 Issued in NU

Practice address

786 D St
Joint Base Elmendorf Richardson, AK 99508

Phone

(907) 384-0600

NPI assigned

Sep 28, 2017

Last updated

May 21, 2025By the provider in NPPES

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 AK

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

Specialty

Physician Assistant

Education

University of Nebraska College of Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medical Network of Alaska LLCGroup PAC ID 3072618859, 70 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: daniel.knudsen.1@27294.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Medical Network of Alaska, LLC

  dba Capstone Urgent Care

  • Urgent Care Clinic/Center
  • Wasilla, AK
  • NPI 1538414834
  Medicare reassignment Care Compare group
• Medical Network of Alaska, LLC

  dba Alaska Fracture and Orthopedic Clinic

  • Orthopaedic Surgery Physician
  • Anchorage, AK
  • NPI 1326753021
  NPD
• Medical Network of Alaska, LLC

  dba MNA Laboratory

  • Clinical Medical Laboratory
  • Wasilla, AK
  • NPI 1467167585
  NPD
• Medical Network of Alaska, LLC

  dba Resound ENT

  • Otolaryngology Physician
  • Anchorage, AK
  • NPI 1922862986
  NPD
• Medical Network of Alaska, LLC

  • Clinic/Center
  • Wasilla, AK
  • NPI 1497478598
  NPD (past)

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

{
    "created_epoch": "1506556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747785600000",
    "number": "1124537550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4076 NEELEY RD",
            "city": "FORT WAINWRIGHT",
            "state": "AK",
            "postal_code": "997037954",
            "telephone_number": "907-384-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "786 D ST",
            "city": "JOINT BASE ELMENDORF RICHARDSON",
            "state": "AK",
            "postal_code": "99508",
            "telephone_number": "907-384-0600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3066 E Meridian Park Loop Ste 1",
            "address_purpose": "LOCATION",
            "city": "Wasilla",
            "state": "AK",
            "postal_code": "996547254",
            "country_code": "US",
            "telephone_number": "907-357-9590",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KNUDSEN",
        "first_name": "DANIEL",
        "middle_name": "THOMAS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-28",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": "1145170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Laurence Able, MD
• John Geselman, MD
• Jeffery Y Henderson, DMD
• Shannon Elisabeth Hunt, AUD, CCC-A
• Courtney Kowalchuk, LCSW
• Jacob Carl Shook, D.O.
• Zachary Trzinski

• Physician Assistant in Joint Base Elmendorf-Richardson, AK
• Providers in Joint Base Elmendorf-Richardson, AK by specialty
• Physician Assistant in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2025; 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.