Individual provider Active NPI

Susan Marie Knafel, P.A.-C

  • Medical Physician Assistant
  • Bridgman, MI
National Provider Identifier
1942376348
Registry record updated Jul 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
5601001850 Issued in MI
Practice address
4299 Lake St
Pob 85
Bridgman, MI 49106-9109
Phone
(269) 465-6221
NPI assigned
Nov 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 5601001850 MI Primary

Addresses

Primary practice location

4299 Lake St
Pob 85
Bridgman, MI 49106-9109

Mailing address

311 N Madison St
Marshall, MI 49068-1144
Phone (269) 781-3128

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070628000052 MI Practitioner - Physician Assistant 1052410263
I20221210000392 FL Practitioner - Physician Assistant 1052410263 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primehealth Urgent Care LLCGroup PAC ID 6002240967, 18 clinicians

Practice addresses (Care Compare)

4647 Manatee Ave W
Bradenton, FL 34209-3816
Phone (941) 745-5999

8927 US Hwy 301 N
Suite 210
Parrish, FL 34219-8701
Phone (941) 845-4621

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5601001850MIMDMedical Physician Assistant

Practice roles (7 of 8)

OrganizationSpecialtyStatusNew patients
Primehealth Urgent Care LLC CurrentSince Dec 1, 2022 Accepting new patients
Emergency Medicine of Indiana LLC Past Accepting new patients
Primehealth Urgent Care LLC Past Accepting new patients
Hhhpsmi-1 PLLC Past Accepting new patients
Battle Creek Emergency Physicians, PC Medical Past Accepting new patients
Mays Medical Psychiatry Group PLLC PastSince Aug 5, 2015 Accepting new patients
Midwest Visiting Physicians, PC Past Accepting new patients

Locations

4647 Manatee Ave W
Bradenton, FL 34209
Phone (941) 745-5999

3018 53rd Ave E
Bradenton, FL 34203
Phone (941) 260-2326

4015 US Highway 301 N
Ellenton, FL 34222
Phone (941) 269-2813

20321 Grande Oak Shoppes Blvd
Ste 308
Estero, FL 33928
Phone (239) 758-0914

5660 Fishhawk Crossing Blvd
Lithia, FL 33547
Phone (813) 328-6262

8927 US Highway 301 N
#210
Parrish, FL 34219
Phone (941) 845-4621

23951 Peachland Blvd
Ste 1
Port Charlotte, FL 33954
Phone (941) 260-2326

5221 Clark Rd
Sarasota, FL 34233
Phone (941) 845-4621

Networks

  • Optimum HealthCare HMO Network

Organizations & group practices 7

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": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215475200000",
    "number": "1942376348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 N MADISON ST",
            "city": "MARSHALL",
            "state": "MI",
            "postal_code": "490681144",
            "telephone_number": "269-781-3128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4299 LAKE ST",
            "address_2": "POB 85",
            "city": "BRIDGMAN",
            "state": "MI",
            "postal_code": "491069109",
            "telephone_number": "269-465-6221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNAFEL",
        "first_name": "SUSAN",
        "middle_name": "MARIE",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2008-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601001850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgman, MI

Sources for this page

Verify at the official NPI Registry.