Active NPI
Pamela Sue Knisley, CNP
- Family Nurse Practitioner
- Hillsboro, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- COA.11618-NP
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3106794 | Medicaid | OH |
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
Enrollment records 1
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
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
- Highland District Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Highland Health Providers Corp | Current | Accepting new patients | |
| Highland Health Providers Corp | Current | 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
- pamelaknisley@hhproviders.allscriptsdirect.net
- 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.
-
- Federally Qualified Health Center (FQHC)
- Hillsboro, OH
- NPI 1396702445
-
- Federally Qualified Health Center (FQHC)
- Winchester, OH
- NPI 1881277507
-
- Family Medicine Physician
- Chillicothe, OH
- NPI 1235468083
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Winchester, OH
- NPI 1306220298
-
- Critical Access Hospital
- Hillsboro, OH
- NPI 1225053119
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2012; 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.