Individual provider Active NPI

Rachel Lynn Knauf

  • Physician Assistant
  • Clearwater, FL
National Provider Identifier
1629715842
Registry record updated Aug 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9116182 Issued in FL
Practice address
2560 Gulf to Bay Blvd Ste 100
Clearwater, FL 33765-4421
Phone
(727) 779-3772
NPI assigned
May 18, 2022
Last updated
Aug 3, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistant 363A00000X PA9116182 FL Primary

Addresses

Primary practice location

2560 Gulf to Bay Blvd Ste 100
Clearwater, FL 33765-4421

Mailing address

2560 Gulf to Bay Blvd Ste 100
Clearwater, FL 33765-4421
Phone (727) 799-3772

Other practice location 1

2031 Little Rd
Trinity, FL 34655-4421
Phone (727) 375-0300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20221101001295 FL Practitioner - Physician Assistant 6204203425 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Florida College of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Site of Tampa Bay PAGroup PAC ID 3173522406, 4 clinicians

Practice addresses (Care Compare)

2031 Little Rd
Trinity, FL 34655-4421
Phone (727) 375-0300

2560 Gulf to Bay Blvd
Suite 100
Clearwater, FL 33765-4421
Phone (727) 799-3772

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.31 of 100Reported as individual
Quality
96.62
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Site of Tampa Bay PA CurrentSince Aug 1, 2022 Accepting new patients

Locations

2560 Gulf To Bay Blvd
Ste 100
Clearwater, FL 33765
Phone (727) 799-3772

2031 Little Rd
Trinity, FL 34655
Phone (727) 375-0300

Interoperability endpoints

  • Direct secure messaging: rknauf@eyesitetampabay.intellechartdirect.net

Organizations & group practices 2

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 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": "1652832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659484800000",
    "number": "1629715842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2560 GULF TO BAY BLVD STE 100",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337654421",
            "telephone_number": "727-799-3772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2560 GULF TO BAY BLVD STE 100",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337654421",
            "telephone_number": "727-779-3772"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2031 Little Rd",
            "address_purpose": "LOCATION",
            "city": "Trinity",
            "state": "FL",
            "postal_code": "346554421",
            "country_code": "US",
            "telephone_number": "727-375-0300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KNAUF",
        "first_name": "RACHEL",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-18",
        "last_updated": "2022-08-03",
        "certification_date": "2022-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9116182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.