Active NPI
Jon Knudsen, NP
- Family Nurse Practitioner
- Visalia, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95002111
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 95002111 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Immediate Care Medical Group, Inc. | Current | Accepting new patients | |
| Visalia Medical Clinic, Inc. | Current | Accepting new patients | |
| Adventist Health Physicians Network | Current | Accepting new patients | |
| Kaweah Delta Health Care Inc | Current | Accepting new patients | |
| Adventist Health Physicians Network | Current | Accepting new patients | |
| Adventist Health Physicians Network | Current | 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
- 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.
-
- Family Medicine Physician
- Glendale, CA
- NPI 1083976294
-
- Physical Therapy Clinic/Center
- Paradise, CA
- NPI 1134092190
-
- Family Medicine Physician
- Tulare, CA
- NPI 1962043950
-
- General Practice Physician
- Visalia, CA
- NPI 1619353042
-
- Family Medicine Physician
- Visalia, CA
- NPI 1780631432
-
- Multi-Specialty Clinic/Center
- Ukiah, CA
- NPI 1417295643
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2015; 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.