Active NPI
Austen Nicole Knapp, MD
- Ophthalmology Physician
- Grand Rapids, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 4351028281
- Practice address
- 5030 Cascade Rd SE
Grand Rapids, MI 49546-3725 - Phone
- (616) 954-2020
- Fax
- (616) 949-0408
- NPI assigned
- Mar 28, 2018
- Last updated
- Sep 19, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | A177155 | CA | |
| Ophthalmology Physician | 207W00000X | 4351028281 | MI | Primary |
Addresses
Primary practice location
5030 Cascade Rd SE
Grand Rapids, MI 49546-3725
Mailing address
5030 Cascade Rd SE
Grand Rapids, MI 49546-3725
Phone (616) 954-2020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Oakland Univ, William Beaumont School of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5030 Cascade Rd SE
Grand Rapids, MI 49546-3725
Phone (616) 954-2020
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A177155 | CA | MD | Ophthalmology Physician |
| 4351028281 | MI | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Stanford Health Care | Current | Accepting new patients | |
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Retina Specialists of Michigan PC | Ophthalmology | Current | Accepting new patients |
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Metropolitan Hospital | Past | Accepting new patients |
Locations
18400 US Highway 18
Apple Valley, CA 92307
Phone (760) 810-7590
1950 University Ave
Ste 160
East Palo Alto, CA 94303
Phone (650) 317-8100
3120 Kearney St
Fremont, CA 94538
Phone (650) 498-3600
3200 Kearney St
Fremont, CA 94538
Phone (510) 498-2800
1189 E Herndon Ave
Ste 103
Fresno, CA 93720
Phone (559) 450-7777
370 Distel Cir
Los Altos, CA 94022
Phone (650) 254-5200
715 Altos Oaks Dr
Los Altos, CA 94024
Phone (650) 934-7010
600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755
701 E El Camino Real
#1
Mountain View, CA 94040
Phone (650) 404-8440
101 Rowland Way
Ste 220
Novato, CA 94945
Phone (415) 878-7200
725 Welch Rd
Palo Alto, CA 94304
Phone (650) 497-8979
795 El Camino Real
Palo Alto, CA 94301
Phone (650) 324-1832
1555 East St
Ste 200
Redding, CA 96001
Phone (530) 229-0911
151 N Sunrise Ave
Ste 1205
Roseville, CA 95661
Phone (916) 780-0110
301 Industrial Rd
#1
San Carlos, CA 94070
Phone (650) 404-8455
3838 California St
Rm 410
San Francisco, CA 94118
Phone (415) 751-1847
2581 Samaritan Dr
Ste 308
San Jose, CA 95124
Phone (408) 355-1700
123 S San Mateo Dr
San Mateo, CA 94401
Phone (650) 343-4200
3883 Airway Dr
Ste 220
Santa Rosa, CA 95403
Phone (707) 521-7750
300 Pasteur Dr
Stanford, CA 94305
Phone (650) 498-5710
10200 Trinity Pkwy
Ste 101
Stockton, CA 95219
Phone (209) 323-3488
550 S Green Valley Rd
Watsonville, CA 95076
Phone (831) 458-5865
5030 Cascade Rd SE
Grand Rapids, MI 49546
Phone (231) 796-0010
1362 S Point Pl
Ste 120
Holland, MI 49423
Phone (616) 954-2020
1250 Mercy Dr
Ste 102
Muskegon, MI 49444
Phone (616) 954-2020
Interoperability endpoints
- aknapp@rsmi.intellechartdirect.net
Organizations & group practices 11
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.
-
- Retina Specialist (Ophthalmology) Physician
- Grand Rapids, MI
- NPI 1801048699
-
dba Palo Alto Medical Foundation
- Ambulatory Surgical Clinic/Center
- Palo Alto, CA
- NPI 1104067115
-
- Ambulatory Surgical Clinic/Center
- Fremont, CA
- NPI 1497996524
-
- Ambulatory Surgical Clinic/Center
- Los Altos, CA
- NPI 1568851327
-
- Ambulatory Surgical Clinic/Center
- Mountain View, CA
- NPI 1982845186
-
dba Stanford Medical Center A Trade Name for Stanford Health Care
- General Acute Care Hospital
- Stanford, CA
- NPI 1437292927
-
dba Palo Alto Medial Foundation
- Multi-Specialty Clinic/Center
- Palo Alto, CA
- NPI 1013950807
-
- Ambulatory Surgical Clinic/Center
- San Carlos, CA
- NPI 1164840088
-
- Ambulatory Surgical Clinic/Center
- Fremont, CA
- NPI 1306241534
-
dba Palo Alto Medical Foundation
- Clinical Medical Laboratory
- Santa Clara, CA
- NPI 1669287033
-
dba Metro Health Hospital
- General Acute Care Hospital
- Wyoming, MI
- NPI 1619923919
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Corewell Health Ludington Hospital
- General Acute Care Hospital
- Ludington, MI
- NPI 1972589489
-
dba Corewell Health Pennock Hospital
- Critical Access Hospital
- Hastings, MI
- NPI 1932695525
-
dba Corewell Health Grand Rapids Hospital
- General Acute Care Hospital
- Grand Rapids, MI
- NPI 1922090554
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726704000000",
"number": "1871098111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5030 CASCADE RD SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495463725",
"telephone_number": "616-954-2020",
"fax_number": "616-949-0408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5030 CASCADE RD SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495463725",
"telephone_number": "616-954-2020",
"fax_number": "616-949-0408"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNAPP",
"first_name": "AUSTEN",
"middle_name": "NICOLE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-28",
"last_updated": "2024-09-19",
"certification_date": "2024-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "CA",
"license": "A177155",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MI",
"license": "4351028281",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.