Kevin Michael Knack Jr., N.P.

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP60313580 Issued in WA

Practice address

655 Redwood Hwy Frontage Rd Ste 240
Mill Valley, CA 94941-3055

Phone

(866) 247-4292

Fax

(866) 247-4292

NPI assigned

Oct 2, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

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, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Anchor Health Management IncGroup PAC ID 0244767929, 3 clinicians

Segal Telepsychiatry NetworkGroup PAC ID 1951564111, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventist Health Ukiah Valley Hospital, Ukiah, CA, CCN 050301
• Adventist Health Mendocino Coast Hospital, Fort Bragg, CA, CCN 051325
• Adventist Health Howard Memorial Hospital, Willits, CA, CCN 051310

Merit-based Incentive Payment System (MIPS)

Final score

80.98 of 100Reported as group

Quality

73.31

Promoting interoperability

92

Improvement activities

40

Cost

62

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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 and National Provider Directory roles.

• Anchor Health Management, Inc.

  • Psychiatry Physician
  • Ukiah, CA
  • NPI 1598524423
  Medicare reassignment Care Compare group NPD
• Segal Telepsychiatry Network

  • Psychoanalyst
  • Mill Valley, CA
  • NPI 1245529296
  Medicare reassignment Care Compare group NPD
• Anchor Health Management, Inc.

  • Psychiatry Physician
  • Fort Bragg, CA
  • NPI 1306681226
  NPD
• Segal Telepsychiatry Network, PLLC

  • Psychiatry Physician
  • Mill Valley, CA
  • NPI 1518674852
  NPD
• Sound

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Tukwila, WA
  • NPI 1780774950
  NPD
• Anchor Health Management, Inc.

  • Case Management Agency
  • Ukiah, CA
  • NPI 1215776984
  NPD (past)

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

• Adventist Health Mendocino Coast

  dba Mendocino Coast District Hospital

  • Critical Access Hospital
  • Fort Bragg, CA
  • NPI 1538113725
  Care Compare affiliation
• Ukiah Adventist Hospital

  dba Adventist Health Ukiah Valley

  • General Acute Care Hospital
  • Ukiah, CA
  • NPI 1235120676
  Care Compare affiliation
• Willits Hospital Inc.

  dba Adventist Health Howard Memorial

  • Critical Access Hospital
  • Willits, CA
  • NPI 1356339543
  Care Compare affiliation

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

{
    "created_epoch": "1285977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756771200000",
    "number": "1376852772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 REDWOOD HWY FRONTAGE RD STE 240",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949413055",
            "telephone_number": "866-247-4292",
            "fax_number": "866-247-4292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 REDWOOD HWY FRONTAGE RD STE 240",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949413055",
            "telephone_number": "866-247-4292",
            "fax_number": "866-247-4292"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "531 S Orchard Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Ukiah",
            "state": "CA",
            "postal_code": "954825022",
            "country_code": "US",
            "telephone_number": "707-472-0350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KNACK",
        "first_name": "KEVIN",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-02",
        "last_updated": "2025-09-02",
        "certification_date": "2025-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95014679",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN60313579",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95014679",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP60313580",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2025451",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jane Jihyeon Kim, PHARM. D.
• Mariam Jane King, PSY,.D.
• Michelle Kipper, LMFT
• David Hagen Kirn, MD
• Kitehill Psychotherapy (Belinda Stroud, Psy.D.)
• Haydee Knott, MD
• Pamela Susan Kohll, LPCC
• Howard Gordon Kornfeld, MD
• Cheryl Ann Kosmas, P.T.
• Marilyn Jean Krieger, PH.D.

• Psychiatric/Mental Health Nurse Practitioner in Mill Valley, CA
• Providers in Mill Valley, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; 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.