Active NPI
Larry L Kniess, CRNP
- Nurse Practitioner
- Butler, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- SP021242
- Practice address
- 389 New Castle Rd
Butler, PA 16001-1743 - Phone
- (724) 282-2216
- Fax
- (724) 282-1861
- NPI assigned
- Jan 16, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | SP021242 | PA | Primary |
Addresses
Primary practice location
389 New Castle Rd
Butler, PA 16001-1743
Mailing address
9573 Hager Rd
Meadville, PA 16335-6477
Other practice location 1
5039 Peach St
Erie, PA 16509-2032
Phone (814) 866-1443
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SP021242 | Other | PA | LICENSE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
18471 Smock Hwy
Suite 107
Meadville, PA 16335-3610
Phone (814) 333-3627
4655 William Flynn Hwy
Suite 110 Upmc Gohealth Urgent Care
Allison Park, PA 15101-2248
Phone (412) 486-3027
5039 Peach St
Erie, PA 16509-2032
Phone (814) 866-1443
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP021242 | PA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medexpress Urgent Care, PC - Pennsylvania | Current | Accepting new patients | |
| Ahn Emergency Group of Erie County LTD. | Current | Accepting new patients | |
| Urgent Care, PC - Pennsylvania | Current | Accepting new patients | |
| Ucmg LLC | Current | Accepting new patients | |
| Medexpress Urgent Care, PC - Pennsylvania | Current | Accepting new patients |
Locations
4808 Edgmont Ave
Brookhaven, PA 19015
Phone (610) 876-3072
5039 Peach St
Erie, PA 16509
Phone (814) 866-0833
7219 McKnight Rd
Ste F
Pittsburgh, PA 15237
Phone (412) 367-3278
2 W Crescent Park
Warren, PA 16365
Phone (814) 452-5337
Interoperability endpoints
- lkniess20695@gohealthupmc.direct-ci.com
Organizations & group practices 5
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.
-
- Urgent Care Clinic/Center
- Allison Park, PA
- NPI 1972300622
-
- Emergency Medicine Physician
- Erie, PA
- NPI 1336564798
-
- Emergency Medicine Physician
- Pittsburgh, PA
- NPI 1982839031
-
- Urgent Care Clinic/Center
- Brookhaven, PA
- NPI 1437681335
-
- Urgent Care Clinic/Center
- Saint Clair, PA
- NPI 1720545320
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717977600000",
"number": "1629608807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9573 HAGER RD",
"city": "MEADVILLE",
"state": "PA",
"postal_code": "163356477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "389 NEW CASTLE RD",
"city": "BUTLER",
"state": "PA",
"postal_code": "160011743",
"telephone_number": "724-282-2216",
"fax_number": "724-282-1861"
}
],
"practiceLocations": [
{
"address_1": "5039 Peach St",
"address_purpose": "LOCATION",
"city": "Erie",
"state": "PA",
"postal_code": "165092032",
"country_code": "US",
"telephone_number": "814-866-1443",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KNIESS",
"first_name": "LARRY",
"middle_name": "L",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-01-16",
"last_updated": "2024-06-10",
"certification_date": "2021-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "PA",
"license": "SP021242",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "SP021242",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Butler, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; 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.