NPIMap

Individual provider Active NPI

Matthew Arthur Knealing, PA

  • Physician Assistant
  • Saint Paul, MN
National Provider Identifier
1396369146
Registry record updated Jan 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
13411 Issued in MN
Practice address
640 Jackson St
Saint Paul, MN 55101-2502
Phone
(651) 254-3456
NPI assigned
Jun 7, 2020
Last updated
Jan 12, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU
Physician Assistant 363A00000X 13411 MN Primary

Addresses

Primary practice location

640 Jackson St
Saint Paul, MN 55101-2502

Mailing address

6182 Golden Valley Rd
Golden Valley, MN 55422-4442
Phone (763) 226-5938

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200812000612 MN Practitioner - Physician Assistant 9931525615 Reassigns benefits to 12 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cook Area Health Services, IncGroup PAC ID 4880681303, 27 clinicians

Practice addresses (Care Compare)

135 Pine Tree Dr
Bigfork, MN 56628-0135
Phone (218) 743-3232

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Glacial Ridge Hospital District CurrentSince Dec 1, 2021 Accepting new patients
Regions Hospital CurrentSince Jul 2, 2020 Accepting new patients
Regions Hospital CurrentSince Jul 2, 2020 Accepting new patients
Grand Itasca Clinic and Hospital CurrentSince Aug 1, 2022 Accepting new patients
Lakeview Memorial Hospital Association Inc CurrentSince Jul 2, 2020 Accepting new patients
Range Regional Health Services CurrentSince May 31, 2021 Accepting new patients
River's Edge Hospital & Clinic CurrentSince Mar 1, 2022 Accepting new patients
Cook Area Health Services, Inc CurrentSince Sep 18, 2023 Accepting new patients
Glacial Ridge Hospital District Current Accepting new patients
Ridgeview Medical Center CurrentSince Apr 25, 2022 Accepting new patients
Glacial Ridge Hospital District Family Medicine CurrentSince Dec 1, 2021 Accepting new patients
Range Regional Health Services CurrentSince May 31, 2021 Accepting new patients
Sibley Medical Center CurrentSince Apr 25, 2022 Accepting new patients
Sanford Health of Northern Minnesota Family Medicine CurrentSince Jun 1, 2022 Accepting new patients
Ridgeview Medical Center Family Medicine CurrentSince Apr 25, 2022 Accepting new patients
Lakeview Memorial Hospital Association Inc. CurrentSince Jul 2, 2020 Accepting new patients
Lakewood Health Center CurrentSince Jun 9, 2022 Accepting new patients
Sanford Health of Northern Minnesota CurrentSince Jun 1, 2022 Accepting new patients

Locations

601 W Chandler St
Arlington, MN 55307
Phone (507) 964-2271

1656 Central St W
Bagley, MN 56621
Phone (218) 694-2384

600 Main Ave S
Birchdale, MN 56623
Phone (218) 634-1655

7907 Powers Blvd
Chanhassen, MN 55317
Phone (952) 934-0570

20 5th St SE
Cook, MN 55723
Phone (218) 666-5941

10 4th Ave SE
Glenwood, MN 56334
Phone (320) 634-5157

417 Franklin St S
Glenwood, MN 56334
Phone (320) 634-5157

111 SE 3rd St
Grand Rapids, MN 55744
Phone (218) 326-3401

750 E 34th St
Hibbing, MN 55746
Phone (218) 262-3441

621 S 4th St
Le Sueur, MN 56058
Phone (507) 665-3375

402 E Platt Ave
Nashwauk, MN 55769
Phone (218) 885-2858

640 Jackson St
Saint Paul, MN 55101
Phone (651) 221-2164

1900 Sunrise Dr
Saint Peter, MN 56082
Phone (507) 931-2200

927 Churchill St W
Stillwater, MN 55082
Phone (651) 430-4529

500 S Maple St
Waconia, MN 55387
Phone (612) 442-2191

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/glac-1755385c
  • Direct secure messaging: mknealing488125@fairview.direct-ci.com

Organizations & group practices 26

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.

View all 26

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1591488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641945600000",
    "number": "1396369146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6182 GOLDEN VALLEY RD",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554224442",
            "telephone_number": "763-226-5938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 JACKSON ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551012502",
            "telephone_number": "651-254-3456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNEALING",
        "first_name": "MATTHEW",
        "middle_name": "ARTHUR",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-07",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "13411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.