Mark Knoblauch, NURSE PRACTITIONER

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

276844 Issued in AZ

Practice address

3326 N 3Rd Ave Ste 201
Phoenix, AZ 85013-4336

Phone

(602) 625-7944

Fax

(602) 895-7576

NPI assigned

Jun 23, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Your Health and Wellness PLLCGroup PAC ID 8426434333, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/27169/brand/1/csg/1/fhir/r4
• Direct secure messaging: mark@yhawp-az.direct.office.nextgen.com
• Direct secure messaging: mark.knoblauch.1@27169.direct.athenahealth.com

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.

• Your Health and Wellness PLLC

  • Primary Care Clinic/Center
  • Phoenix, AZ
  • NPI 1992476543
  Medicare reassignment Care Compare group NPD Authorized official
• Alveo LC

  • Pulmonary Disease Physician
  • Phoenix, AZ
  • NPI 1639517436
  NPD (past)

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

{
    "created_epoch": "1655942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703030400000",
    "number": "1356072953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3326 N 3RD AVE STE 201",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850134336",
            "telephone_number": "602-625-7944",
            "fax_number": "602-865-7576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3326 N 3RD AVE STE 201",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850134336",
            "telephone_number": "602-625-7944",
            "fax_number": "602-895-7576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOBLAUCH",
        "first_name": "MARK",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-23",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "276844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mark.knoblauch.1@27169.direct.athenahealth.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3326 N 3rd Ave Ste 201",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850134336",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Yasmyn Knight, PHARMD
• David Knightes III, PHARMACIST
• Amy Eileen Knighton, PAC
• Megan A Kniskern, MS, RD, LD/N, CEDS-S
• Lindsey Knobbe, RBT
• Emily Knochel, PA-C
• John David Knochel, D.P.M
• Jessica Knodel, PHARMD
• Christine Mary Knoll, M.D.
• Christopher Sebastian Knoll, M.D.

• Family Nurse Practitioner in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; 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.