Active NPI
Alyssa Rose Knapp, PA-C
- Medical Physician Assistant
- Sierra Vista, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- Practice address
- 5750 E Highway 90 Ste 200
Sierra Vista, AZ 85635-9113 - Phone
- (520) 263-3762
- NPI assigned
- Sep 14, 2019
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | AZ | Primary |
Addresses
Primary practice location
5750 E Highway 90 Ste 200
Sierra Vista, AZ 85635-9113
Mailing address
2500 El Camino Real
Sierra Vista, AZ 85635-5900
Phone (623) 261-2140
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- 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
- Physician Assistant
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5750 E Hwy 90
Suite 200
Sierra Vista, AZ 85635-9113
Phone (520) 263-3500
7 N San Diego St
Tombstone, AZ 85638-0406
Phone (520) 457-2374
Hospital & facility affiliations
- Bayada Home Health Care, Inc
- Canyon Vista Medical Center
- Copper Queen Community Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7654 | AZ | MD | Chiropractor |
Interoperability endpoints
- alyssa.gerads.1@19231.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Sierra Vista, AZ
- NPI 1043575483
-
- General Practice Physician
- Tucson, AZ
- NPI 1497805360
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Sierra Vista, AZ
- NPI 1912291139
-
- Critical Access Hospital
- Bisbee, AZ
- NPI 1518968767
-
- General Acute Care Hospital
- Sierra Vista, AZ
- NPI 1194766543
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716336000000",
"number": "1346890068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 EL CAMINO REAL",
"city": "SIERRA VISTA",
"state": "AZ",
"postal_code": "856355900",
"telephone_number": "623-261-2140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5750 E HIGHWAY 90 STE 200",
"city": "SIERRA VISTA",
"state": "AZ",
"postal_code": "856359113",
"telephone_number": "520-263-3762"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNAPP",
"first_name": "ALYSSA",
"middle_name": "ROSE",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-14",
"last_updated": "2024-05-22",
"certification_date": "2024-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "AZ",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sierra Vista, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; 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.