Jennifer Knox, MD
Individual provider Active NPI Family Medicine Physician · Grand Coulee, WA
NPI 1134516933 · NPPES record last updated Jul 25, 2018
Key facts
- NPI
- 1134516933
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- MD60799464 (WA)
- Practice address
- 411 Fortuyn Rd
Grand Coulee, WA 99133-8718 - Phone
- (509) 633-1753
- Fax
- (509) 633-1933
- NPI assigned
- Apr 20, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Washington School of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Douglas, Grant, Lincoln and Okanogan Counties Public Hospital District
Practice addresses (Care Compare)
411 Fortuyn Rd
Grand Coulee, WA 99133-8718
Phone (509) 633-1753
Hospital & facility affiliations
- Coulee Medical Center
- St Lukes Hospital
- Samaritan Hospital
- Coulee Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.78 of 100
- Quality
- 80.38
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180928001046 | WA | Practitioner - Family Practice |
5496032799 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD60799464 | WA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Douglas, Grant, Lincoln & Okanogan Counties Public Hospital District 6 | Family Medicine | Current |
Accepting new patients |
| Douglas, Grant, Lincoln & Okanogan Counties Public Hospital District 6 | Current | Accepting new patients | |
| Douglas, Grant, Lincoln & Okanogan Counties Public Hospital District 6 | Current |
Accepting new patients |
Locations
411 Fortuyn Rd
Grand Coulee, WA 99133
Phone (509) 633-1753
Interoperability endpoints
- knoxj@cmccares.cernerdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD60799464 | WA | Yes |
Addresses
Primary practice location
411 Fortuyn Rd
Grand Coulee, WA 99133-8718
Mailing address
411 Fortuyn Rd
Grand Coulee, WA 99133-8718
Phone (509) 633-1753
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2078642 | Medicaid | WA |
Other providers in Grand Coulee, WA
- JG Pepperd DC PLLC
- Heo Jung Kim
- Jaime Lynn King
- Richard M King
- Cassandra Klakken Viramontes
- Kyle M. Gillespie, O.D., LTD.
- Dawn L Lovelace
- Alvina Mary Marris
- Christopher C McGlothlen
- Anastasia Meixner Moore
All providers in Grand Coulee, WA · Family Medicine Physician in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 25, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.