Kathryn M Knisely, PA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

010007 Issued in NY

Practice address

192 Park Club Lane Suite 100
Williamsville, NY 14221

Phone

(716) 204-1101

Fax

(716) 204-0914

NPI assigned

Aug 12, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kathryn M Prem Former name

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Physician Assistant

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Excelsior Orthopaedics LLPGroup PAC ID 2062491517, 146 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sisters of Charity Hospital Hospital, Buffalo, NY, CCN 330078
• Kenmore Mercy Hospital Hospital, Kenmore, NY, CCN 330102

Merit-based Incentive Payment System (MIPS)

Final score

89.79 of 100Reported as group

Quality

89.94

Promoting interoperability

88

Improvement activities

40

Cost

82.5

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kknisely@excelsiorortho.medentdirect.com

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.

• Excelsior Orthopaedics LLP

  • Orthopaedic Surgery Physician
  • Amherst, NY
  • NPI 1831196757
  Medicare reassignment Care Compare group
• Excelsior Orthopaedics, LLP

  • Orthopaedic Surgery Physician
  • Amherst, NY
  • NPI 1003058462
  NPD
• Orthopedic Surgery, P.C.

  • Orthopaedic Surgery Physician
  • East Amherst, NY
  • NPI 1508954686
  NPD (past)
• Valerie Vullo M.D., LLC

  • Physical Medicine & Rehabilitation Physician
  • Williamsville, NY
  • NPI 1538115860
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Kenmore Mercy Hospital

  • General Acute Care Hospital
  • Kenmore, NY
  • NPI 1770598104
  Care Compare affiliation
• Sisters of Charity Hospital of Buffalo New York

  • General Acute Care Hospital
  • Cheektowaga, NY
  • NPI 1043455199
  Care Compare affiliation
• Sisters of Charity Hospital of Buffalo New York

  • General Acute Care Hospital
  • Buffalo, NY
  • NPI 1790727543
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387238400000",
    "number": "1669484440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "192 PARK CLUB LANE SUITE 100",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "14221",
            "telephone_number": "716-204-1101",
            "fax_number": "716-204-0914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "192 PARK CLUB LANE SUITE 100",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "14221",
            "telephone_number": "716-204-1101",
            "fax_number": "716-204-0914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNISELY",
        "first_name": "KATHRYN",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-12",
        "last_updated": "2013-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "010007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "PREM",
            "middle_name": "M",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ashley Ann Knavel
• Knee Center of Wny
• Knickerbocker Dialysis Inc (Suburban Dialysis Center)
• Karen Knight, RPAC
• Knights Eyewear, LLC (Peter Maeve)
• Hannah Knoll, LPN
• David W Knorz, M.D.
• Hak J Ko, MD
• Ashley Marie Kobler, PT DPT
• Eric J Koch, DO

• Surgical Physician Assistant in Williamsville, NY
• Providers in Williamsville, NY by specialty
• Surgical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2013; 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.

Verify at the official NPI Registry.