NPIMap

Individual provider Active NPI

Kyla K Knies, PA

  • Physician Assistant
  • Evansville, IN
National Provider Identifier
1407335094
Registry record updated Mar 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10002568A Issued in IN
Practice address
520 Mary St Ste 230
Evansville, IN 47710-1678
Phone
(812) 464-9133
Fax
(812) 464-0559
NPI assigned
Aug 14, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 10002568A IN
Physician Assistant 363A00000X 10002568A IN Primary

Addresses

Primary practice location

520 Mary St Ste 230
Evansville, IN 47710-1678

Mailing address

PO Box 1230
Evansville, IN 47706-1230
Phone (812) 464-9133

Other names 1

  • Kyla K Altmann Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20181004002167 IN Practitioner - Physician Assistant 2567714439 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Deaconess Memorial Medical Center IncGroup PAC ID 4587578042, shared by 8 NPIs, 140 clinicians

Practice addresses (Care Compare)

303 N Meridian St
Holland Family Medicine
Holland, IN 47541-9656
Phone (812) 536-3943

440 Scott Rolen Dr
Jasper, IN 47546-2700
Phone (812) 482-5656

600 S State Rd
57 Suite B
Washington, IN 47501-4371
Phone (812) 674-4040

679 S State Rd
145 French Lick Family Medicine
French Lick, IN 47432-8328
Phone (812) 936-6400

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10002568AINMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Deaconess Memorial Medical Center Inc CurrentSince Apr 12, 2022 Accepting new patients
Deaconess Memorial Medical Center Inc CurrentSince Apr 12, 2022 Accepting new patients
Deaconess Specialty Physicians, Inc Physician Assistant CurrentSince Sep 12, 2018 Accepting new patients
Deaconess Memorial Medical Center Inc Physician Assistant CurrentSince Apr 12, 2022 Accepting new patients
Deaconess Memorial Medical Center Inc Past Accepting new patients

Locations

520 Mary St
Ste 230
Evansville, IN 47710
Phone (812) 450-8600

600 Mary St
Evansville, IN 47710
Phone (812) 450-2239

679 S State Road 145
French Lick, IN 47432
Phone (812) 481-7200

800 W 9th St
Jasper, IN 47546
Phone (812) 482-2345

440 Scott Rolen Dr
Jasper, IN 47546
Phone (812) 481-1655

600 S State Road 57
Ste B
Washington, IN 47501
Phone (812) 674-4040

Interoperability endpoints

  • Direct secure messaging: kknies32267@direct.mhhcc.org
  • Direct secure messaging: kaltmann199314@direct.deaconess.com

Organizations & group practices 8

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.

Hospital & facility affiliations 6

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": "1534204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646265600000",
    "number": "1407335094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1230",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477061230",
            "telephone_number": "812-464-9133",
            "fax_number": "812-464-0559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 MARY ST STE 230",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477101678",
            "telephone_number": "812-464-9133",
            "fax_number": "812-464-0559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNIES",
        "first_name": "KYLA",
        "middle_name": "K",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-14",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "IN",
            "license": "10002568A",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10002568A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KYLA",
            "last_name": "ALTMANN",
            "middle_name": "K",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.