Individual provider Active NPI

Jon Knudsen, NP

  • Family Nurse Practitioner
  • Visalia, CA
National Provider Identifier
1871985333
Registry record updated Feb 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95002111 Issued in CA
Practice address
215 E Caldwell Ave
Suite a
Visalia, CA 93277-7605
Phone
(559) 622-9800
Fax
(559) 622-9871
NPI assigned
Feb 20, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95002111 CA Primary

Addresses

Primary practice location

215 E Caldwell Ave
Suite a
Visalia, CA 93277-7605

Mailing address

215 E Caldwell Ave
Suite a
Visalia, CA 93277-7605
Phone (559) 622-9800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20150421002696 CA Practitioner - Nurse Practitioner 5395063465 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adventist Health Physicians Network 628 clinicians

Practice addresses (Care Compare)

1524 W Lacey Blvd
Suite 101
Hanford, CA 93230-5990
Phone (559) 583-4695

5400 W Hillsdale Ave
Visalia, CA 93291-8222
Phone (559) 738-7500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95002111CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Immediate Care Medical Group, Inc. CurrentSince Mar 1, 2015 Accepting new patients
Visalia Medical Clinic, Inc. Current Accepting new patients
Adventist Health Physicians Network CurrentSince Apr 1, 2023 Accepting new patients
Kaweah Delta Health Care Inc CurrentSince May 1, 2018 Accepting new patients
Adventist Health Physicians Network Current Accepting new patients
Adventist Health Physicians Network CurrentSince Apr 1, 2023 Accepting new patients
Adventist Health Heart Institute-Ukiah Past Accepting new patients

Locations

1524 W Lacey Blvd
Ste 101
Hanford, CA 93230
Phone (559) 583-4695

215 E Caldwell Ave
#A
Visalia, CA 93277
Phone (559) 409-2048

231 E Caldwell Ave
Visalia, CA 93277
Phone (559) 622-9800

400 W Mineral King Ave
Visalia, CA 93291
Phone (559) 624-2001

5400 W Hillsdale Ave
Visalia, CA 93291
Phone (553) 733-5222

Interoperability endpoints

  • Direct secure messaging: jonknudsen@vmchealth.allscriptsdirect.net

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1424390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424390400000",
    "number": "1871985333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 E CALDWELL AVE",
            "address_2": "SUITE A",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932777605",
            "telephone_number": "559-622-9800",
            "fax_number": "559-622-9871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 E CALDWELL AVE",
            "address_2": "SUITE A",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932777605",
            "telephone_number": "559-622-9800",
            "fax_number": "559-622-9871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNUDSEN",
        "first_name": "JON",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-20",
        "last_updated": "2015-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95002111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

Verify at the official NPI Registry.