Individual provider Active NPI

Pamela Sue Knisley, CNP

  • Family Nurse Practitioner
  • Hillsboro, OH
National Provider Identifier
1174833867
Registry record updated Oct 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
COA.11618-NP Issued in OH
Practice address
1402 N High St
Hillsboro, OH 45133-8514
Phone
(937) 393-4899
Fax
(937) 393-4996
NPI assigned
Oct 14, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X COA.11618-NP OH Primary

Addresses

Primary practice location

1402 N High St
Hillsboro, OH 45133-8514

Mailing address

PO Box 637735
Cincinnati, OH 45263-7735
Phone (513) 891-1006

Other identifiers 1

IdentifierTypeStateIssuer
3106794MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20110104000226 OH Practitioner - Nurse Practitioner 0547458739 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Highland Health Providers CorpGroup PAC ID 0244257848, 15 clinicians

Practice addresses (Care Compare)

11130 N Shore Dr
Hillsboro, OH 45133-9751
Phone (937) 402-5491

1487 N High St
Suite 102
Hillsboro, OH 45133-8496
Phone (937) 840-9150

Hospital & facility affiliations

  • Adams County Homecare LLC Home health agency, Winchester, OH, CCN 367055
  • Highland District Hospital Hospital, Hillsboro, OH, CCN 361332

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Highland Health Providers Corp CurrentSince Mar 1, 2018 Accepting new patients
Highland Health Providers Corp CurrentSince Mar 1, 2018 Accepting new patients
Adena Medical Group LLC Past Accepting new patients

Locations

1275 N High St
Hillsboro, OH 45133
Phone (937) 393-5503

11130 N Shore Dr
Hillsboro, OH 45133
Phone (937) 393-6121

1487 N High St
Ste 102
Hillsboro, OH 45133
Phone (937) 393-3406

1402 N High St
Hillsboro, OH 45133
Phone (937) 393-4899

Interoperability endpoints

  • Direct secure messaging: pamelaknisley@hhproviders.allscriptsdirect.net
  • Direct secure messaging: pknisley404247@direct.trihealth.com

Organizations & group practices 3

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 2

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": "1287014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349136000000",
    "number": "1174833867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 637735",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452637735",
            "telephone_number": "513-891-1006",
            "fax_number": "513-793-1032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1402 N HIGH ST",
            "city": "HILLSBORO",
            "state": "OH",
            "postal_code": "451338514",
            "telephone_number": "937-393-4899",
            "fax_number": "937-393-4996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNISLEY",
        "first_name": "PAMELA",
        "middle_name": "SUE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-14",
        "last_updated": "2012-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.11618-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3106794",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, OH

Sources for this page

Verify at the official NPI Registry.