Jacob Ross Knox

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA19949 Issued in TX

Practice address

1759 Broad Park Cir S Ste 201
Mansfield, TX 76063-7834

Phone

(682) 341-3910

NPI assigned

Nov 10, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Kidsville Pediatrics PLLC

  • Pediatric Critical Care Medicine Physician
  • Mansfield, TX
  • NPI 1689264996

  Physician Assistant

  NPD

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

{
    "created_epoch": "1762732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787184000000",
    "number": "1821968181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 NORTHWEST HWY APT 2125",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750393691",
            "telephone_number": "214-770-1421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1759 BROAD PARK CIR S STE 201",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760637834",
            "telephone_number": "682-341-3910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOX",
        "first_name": "JACOB",
        "middle_name": "ROSS",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-11-10",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA19949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Klitzke, LPC
• KLR Physician Group
• KND Behavioral Health Clinic PLLC
• KND Development 59, LLC
• Kristine Ashleigh Knoll
• Max W Koch
• Dayo Oluwaseun Kolawole, NP
• Carolyn Kollar, D.O.
• Komfot Provider Services LLC
• Venkateshwar Reddy Kommidi, DDS

• Physician Assistant in Mansfield, TX
• Providers in Mansfield, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.