Individual provider Active NPI

Evan John Knappenberger, PA-C

  • Medical Physician Assistant
  • Lancaster, PA
National Provider Identifier
1477822583
Registry record updated Mar 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA055261 Issued in PA
Practice address
2104 Harrisburg Pike
Suite 200
Lancaster, PA 17601-2644
Phone
(717) 544-3626
NPI assigned
Dec 19, 2011
Last updated
Mar 22, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA055261 PA Primary

Addresses

Primary practice location

2104 Harrisburg Pike
Suite 200
Lancaster, PA 17601-2644

Mailing address

2104 Harrisburg Pike
Suite 200
Lancaster, PA 17601-2644
Phone (717) 544-3626

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
I20120501000176 PA Practitioner - Physician Assistant 8224290689 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lancaster General HospitalGroup PAC ID 1254240039, 520 clinicians

Practice addresses (Care Compare)

317 Chestnut St
Quarryville, PA 17566-1184
Phone (717) 544-3555

540 N Duke St 3Rd Floor
Penn Med Lanc Gen H. Phys Fam Med Downtown
Lancaster, PA 17602-2374
Phone (717) 544-4950

690 Good Dr
Suite 315
Lancaster, PA 17601-2433
Phone (717) 544-3555

694 Good Dr
Suite 11
Lancaster, PA 17601-2433
Phone (717) 544-0040

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA055261PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lancaster General Medical Group CurrentSince Aug 15, 2016 Accepting new patients
Lancaster General Hospital CurrentSince Oct 15, 2019 Accepting new patients
Lancaster General Medical Group CurrentSince Aug 15, 2016 Accepting new patients
Lanaster General Hospital CurrentSince Oct 15, 2019 Accepting new patients
Lancaster General Hospital CurrentSince Oct 15, 2019 Accepting new patients
Lancaster General Medical Group Past Accepting new patients

Locations

1030 New Holland Ave
Bldg 12A
Lancaster, PA 17601

2104 Harrisburg Pike
Ste 200
Lancaster, PA 17601
Phone (717) 290-3626

3045 Marietta Ave
Lancaster, PA 17601
Phone (717) 299-4644

540 N Duke St
Fl 3
Lancaster, PA 17602
Phone (717) 544-4950

554 N Duke St
Lancaster, PA 17602
Phone (717) 291-5863

554 N Duke St
Fl 2
Lancaster, PA 17602
Phone (717) 544-2273

554 N Duke St
Fl 3
Lancaster, PA 17602
Phone (717) 544-1960

555 N Duke St
Lancaster, PA 17602
Phone (717) 544-5945

555 N Duke St
Fl 1
Lancaster, PA 17602
Phone (717) 544-7279

694 Good Dr
Ste 11
Lancaster, PA 17601
Phone (717) 544-0040

317 Chestnut St
Quarryville, PA 17566
Phone (717) 544-3555

Interoperability endpoints

  • Direct secure messaging: eknappenberger132741@direct-lghealth.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1324252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490140800000",
    "number": "1477822583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2104 HARRISBURG PIKE",
            "address_2": "SUITE 200",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176012644",
            "telephone_number": "717-544-3626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2104 HARRISBURG PIKE",
            "address_2": "SUITE 200",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176012644",
            "telephone_number": "717-544-3626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNAPPENBERGER",
        "first_name": "EVAN",
        "middle_name": "JOHN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-12-19",
        "last_updated": "2017-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA055261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.