Individual provider Active NPI

Anthony Bruce Knell, PA

  • Medical Physician Assistant
  • South Charleston, WV
National Provider Identifier
1972609550
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
376-T Issued in WV
Practice address
500 Poplar St Ste 301
South Charleston, WV 25309-1473
Phone
(304) 768-4567
NPI assigned
Sep 15, 2006
Last updated
Aug 6, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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 376-T WV Primary

Addresses

Primary practice location

500 Poplar St Ste 301
South Charleston, WV 25309-1473

Mailing address

500 Poplar St Ste 301
South Charleston, WV 25309-1473
Phone (304) 768-4567

Other practice location 1

3535 Olentangy River Rd
Columbus, OH 43214-3908
Phone (614) 566-5456

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address aknell1541840@direct.ohiohealth.com OhioHealth Corporation

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, OH2 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
I20061106000267 WV Practitioner - Physician Assistant 8123025129
I20240914000420 OH Practitioner - Physician Assistant 8123025129 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oakview DermatologyGroup PAC ID 1254408610, 31 clinicians

Practice addresses (Care Compare)

204 Stone Rd
Belpre, OH 45714-5003
Phone (740) 423-3080

2111 E State St
Athens, OH 45701-2138
Phone (740) 566-4621

Merit-based Incentive Payment System (MIPS)

Final score
94.22 of 100Reported as group
Quality
90.79
Promoting interoperability
100
Improvement activities
40
Cost
89.93

Merit-based Incentive Payment System (MIPS)

Final score
90.43 of 100Reported as group
Quality
88.74
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
376WVMDChiropractor
376-TWVMDMedical Physician Assistant

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1972609550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 POPLAR ST STE 301",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253091473",
            "telephone_number": "304-768-4567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 POPLAR ST STE 301",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253091473",
            "telephone_number": "304-768-4567"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3535 Olentangy River Rd",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432143908",
            "country_code": "US",
            "telephone_number": "614-566-5456",
            "fax_number": "614-566-6902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KNELL",
        "first_name": "ANTHONY",
        "middle_name": "BRUCE",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WV",
            "license": "376-T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aknell1541840@direct.ohiohealth.com",
            "affiliation": "Y",
            "affiliationName": "OhioHealth Corporation",
            "address_1": "3535 Olentangy River Rd",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432143908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in South Charleston, WV

Sources for this page

Verify at the official NPI Registry.