Individual provider Active NPI

Michelle Lea Knott, PA

  • Physician Assistant
  • Collinsville, OK
National Provider Identifier
1831432640
Registry record updated Mar 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2246 Issued in OK
Practice address
11610 N 137TH East Ave
Collinsville, OK 74021-3601
Phone
(918) 928-4180
Fax
(918) 928-4185
NPI assigned
Mar 29, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2246 OK Primary

Addresses

Primary practice location

11610 N 137TH East Ave
Collinsville, OK 74021-3601

Mailing address

6600 S Yale Ave Ste 1400
Tulsa, OK 74136-3331
Phone (888) 247-0125

Other practice location 1

2950 S Elm Pl Ste 120
Broken Arrow, OK 74012-7816
Phone (918) 451-5191

Other names 1

  • Michelle Iverson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20130802000580 OK Practitioner - Physician Assistant 2769623735 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Warren Clinic IncGroup PAC ID 8820900293, 787 clinicians

Practice addresses (Care Compare)

6600 S Yale Ave
Suite 1400
Tulsa, OK 74136-3331
Phone (918) 488-6000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2246OKMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Warren Clinic Inc CurrentSince Oct 19, 2015 Accepting new patients

Locations

2950 S Elm Pl
Ste 120
Broken Arrow, OK 74012
Phone (918) 451-5191

11610 N 137th East Ave
Collinsville, OK 74021
Phone (918) 272-2247

6600 S Yale Ave
Ste 1200
Tulsa, OK 74136
Phone (918) 488-6045

6600 S Yale Ave
Ste 700
Tulsa, OK 74136
Phone (918) 502-7300

6600 S Yale Ave
Ste 1400
Tulsa, OK 74136
Phone (888) 247-0125

7858 S Olympia Ave
Tulsa, OK 74132
Phone (918) 986-9200

Interoperability endpoints

  • Direct secure messaging: mknott88965@direct.saintfrancis.com

Organizations & group practices 1

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.

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": "1364515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678320000000",
    "number": "1831432640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 S YALE AVE STE 1400",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741363331",
            "telephone_number": "888-247-0125",
            "fax_number": "918-502-8210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11610 N 137TH EAST AVE",
            "city": "COLLINSVILLE",
            "state": "OK",
            "postal_code": "740213601",
            "telephone_number": "918-928-4180",
            "fax_number": "918-928-4185"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2950 S Elm Pl Ste 120",
            "address_purpose": "LOCATION",
            "city": "Broken Arrow",
            "state": "OK",
            "postal_code": "740127816",
            "country_code": "US",
            "telephone_number": "918-451-5191",
            "fax_number": "918-451-5272",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KNOTT",
        "first_name": "MICHELLE",
        "middle_name": "LEA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-29",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "2246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "IVERSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Collinsville, OK

Sources for this page

Verify at the official NPI Registry.