Lucas Knowlton, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

4970 Issued in AZ

Practice address

4720 S I 10 Service Rd W Ste 301
Metairie, LA 70001-1241

Phone

(504) 885-8225

Fax

(504) 885-7642

NPI assigned

Sep 20, 2011

Last updated

Aug 6, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Luke Knowlton Other name

Medicare fee-for-service enrollment

Enrolled in ME

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

Specialty

Physician Assistant

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Charles a Dean Memorial HospitalGroup PAC ID 1557279031, 24 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northern Light C a Dean Hospital Hospital, Greenville, ME, CCN 201301
• Northern Light Mayo Hospital Hospital, Dover Foxcroft, ME, CCN 201309

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

92.4

Promoting interoperability

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

88.7 of 100Reported as group

Quality

74.14

Promoting interoperability

95

Improvement activities

40

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Charles a Dean Memorial Hospital

  dba Northern Light C A Dean Hospital

  • Critical Access Hospital
  • Greenville, ME
  • NPI 1659388213
  Medicare reassignment Care Compare group NPD
• A. Jay Binder, M.D., a Medical Corporation

  dba A. Jay Binder, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Metairie, LA
  • NPI 1578749875
  NPD (past)
• Eastern Maine Healthcare Systems

  dba Northern Light CA Dean Hospital

  • Rural Health Clinic/Center
  • Greenville, ME
  • NPI 1265441323
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Charles a Dean Memorial Hospital

  dba Northern Light C A Dean Hospital

  • Critical Access Hospital
  • Greenville, ME
  • NPI 1659388213
  Care Compare affiliation
• MRH Corp.

  dba Mayo Regional Hospital

  • Critical Access Hospital
  • Dover Foxcroft, ME
  • NPI 1558319103
  Care Compare affiliation

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

{
    "created_epoch": "1316476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375747200000",
    "number": "1205119831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4720 S I 10 SERVICE RD W STE 301",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700011241",
            "telephone_number": "504-885-8225",
            "fax_number": "504-885-7642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4720 S I 10 SERVICE RD W STE 301",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700011241",
            "telephone_number": "504-885-8225",
            "fax_number": "504-885-7642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOWLTON",
        "first_name": "LUCAS",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-09-20",
        "last_updated": "2013-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "4970",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LA STATE BOARD OF MEDICAL EXAMINERS",
            "identifier": "PA.200603",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LUKE",
            "last_name": "KNOWLTON",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Thomas J Knight
• William Ross Knight, DO
• Elizabeth Hanemann Knoth, MT-BC, SLP-CCC
• Bridgette Marie Knower, CCP, MHA
• Kendall Ruth Knowles, MA, PLPC
• Nyla Knox
• Koaba Kids, LLC
• Joni Kobrock
• Nathan Koch, NCC, C.I., M.S.
• Kristen Koehl, NP

• Medical Physician Assistant in Metairie, LA
• Providers in Metairie, LA by specialty
• Medical Physician Assistant in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2013; 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.

Verify at the official NPI Registry.