Individual provider Active NPI

Katie Kniess, PA-C

  • Physician Assistant
  • Slippery Rock, PA
National Provider Identifier
1124720115
Registry record updated Mar 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
100 Innovation Dr
Slippery Rock, PA 16057-2468
Phone
(833) 684-1891
NPI assigned
Mar 21, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2023

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 PA Primary

Addresses

Primary practice location

100 Innovation Dr
Slippery Rock, PA 16057-2468

Mailing address

100 Innovation Dr
Slippery Rock, PA 16057-2468
Phone (833) 684-1891

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20230426000630 PA Practitioner - Physician Assistant 0648635607 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Butler Medical ProvidersGroup PAC ID 7416840160, 355 clinicians

Practice addresses (Care Compare)

129 Oneida Valley Rd
Suite 211
Butler, PA 16001-2252
Phone (844) 765-2845

Hospital & facility affiliations

  • Independence Health System Butler Memorial Hospita Hospital, Butler, PA, CCN 390168

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Butler Medical Providers CurrentSince May 1, 2023 Accepting new patients
Butler Medical Providers CurrentSince May 1, 2023 Accepting new patients
Butler Medical Providers Past Accepting new patients

Locations

129 Oneida Valley Rd
Ste 211
Butler, PA 16001
Phone (888) 765-2845

24 Doctors Ln
Ste 201
Clarion, PA 16214
Phone (833) 684-1898

100 Innovation Dr
Ste 101
Slippery Rock, PA 16057
Phone (724) 794-4023

Organizations & group practices 4

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 3

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": "1679356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679356800000",
    "number": "1124720115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 INNOVATION DR",
            "city": "SLIPPERY ROCK",
            "state": "PA",
            "postal_code": "160572468",
            "telephone_number": "833-684-1891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 INNOVATION DR",
            "city": "SLIPPERY ROCK",
            "state": "PA",
            "postal_code": "160572468",
            "telephone_number": "833-684-1891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNIESS",
        "first_name": "KATIE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-21",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Slippery Rock, PA

Sources for this page

Verify at the official NPI Registry.