Michelle Renae Knight, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

53-78489-102 Issued in KS

Practice address

2120 N 14TH Ave Ste B
Dodge City, KS 67801-2348

Phone

(620) 255-1410

Fax

(620) 254-3520

NPI assigned

Jan 25, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Mar 11, 2024 through Mar 11, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1548374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753660800000",
    "number": "1174087068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1513",
            "city": "DODGE CITY",
            "state": "KS",
            "postal_code": "678011513",
            "telephone_number": "620-255-1410",
            "fax_number": "620-254-3520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 N 14TH AVE STE B",
            "city": "DODGE CITY",
            "state": "KS",
            "postal_code": "678012348",
            "telephone_number": "620-255-1410",
            "fax_number": "620-254-3520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNIGHT",
        "first_name": "MICHELLE",
        "middle_name": "RENAE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-25",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "KS",
            "license": "53-78489",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-78489-102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lacie Killian, CNA
• Kirk L. Henrichs (Stout-Henrichs Chiropractic Clinic)
• Patrick Klecker
• Jewel Knight, LPN, LMSW
• Jonathan Allen Knight, APRN, FNP-C
• Rodney Alan Koehler, ATC
• Koehn Wellness & Chiropractic, P.a.
• Brian Koehn, RPH
• Lynne A Koehn
• Shanda Renae Koehn, D.C.

• Family Nurse Practitioner in Dodge City, KS
• Providers in Dodge City, KS by specialty
• Family Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.