Individual provider Active NPI

Kristen Leigh Knerr, PA-C

  • Physician Assistant
  • Washington, PA
National Provider Identifier
1467650853
Registry record updated Sep 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA053028 Issued in PA
Practice address
100 Trich Dr
Suite 2
Washington, PA 15301-5990
Phone
(724) 225-8657
Fax
(724) 228-8388
NPI assigned
Jul 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA053028 PA Primary

Addresses

Primary practice location

100 Trich Dr
Suite 2
Washington, PA 15301-5990

Mailing address

100 Trich Dr
Suite 2
Washington, PA 15301-5990
Phone (724) 225-8657

Other names 1

  • Kristen Leigh Hopes Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20070907000122 PA Practitioner - Physician Assistant 6305939307 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Orthopaedic and Rehabilitation LLCGroup PAC ID 5890866735, 12 clinicians

Practice addresses (Care Compare)

100 Trich Dr
Washington, PA 15301-5990
Phone (724) 225-8657

1200 McKean Ave
Suite 106
Charleroi, PA 15022-2141
Phone (724) 225-8657

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA053028PAMDPhysician Assistant

Organizations & group practices 1

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 1

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": "1183680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473984000000",
    "number": "1467650853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 TRICH DR",
            "address_2": "SUITE 2",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153015990",
            "telephone_number": "724-225-8657",
            "fax_number": "724-228-8388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 TRICH DR",
            "address_2": "SUITE 2",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153015990",
            "telephone_number": "724-225-8657",
            "fax_number": "724-228-8388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNERR",
        "first_name": "KRISTEN",
        "middle_name": "LEIGH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-06",
        "last_updated": "2016-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA053028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "HOPES",
            "middle_name": "LEIGH",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Washington, PA

Sources for this page

Verify at the official NPI Registry.