Individual provider Active NPI

Destiny Knocker, FNP

  • Family Nurse Practitioner
  • Redmond, OR
National Provider Identifier
1982269742
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
201900883NP-PP Issued in OR
Practice address
1245 NW 4TH St Ste 201
Redmond, OR 97756-1680
Phone
(541) 323-4545
NPI assigned
May 7, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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 201900883NP-PP OR Primary

Addresses

Primary practice location

1245 NW 4TH St Ste 201
Redmond, OR 97756-1680

Mailing address

1245 NW 4TH St Ste 201
Redmond, OR 97756-1680
Phone (541) 323-4545

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20190916001935 OR Practitioner - Nurse Practitioner 3779812862 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rimc LLCGroup PAC ID 6507242781, 2 clinicians

Practice addresses (Care Compare)

1245 NW 4TH St
Suite 201
Redmond, OR 97756-1680
Phone (541) 323-4545

Hospital & facility affiliations

  • St. Charles Home Health Services Home health agency, Bend, OR, CCN 387026
  • St Charles Medical Center - Bend Hospital, Bend, OR, CCN 380047
  • St Charles Medical Center Prineville Hospital, Prineville, OR, CCN 381313
  • St Charles Madras Hospital, Madras, OR, CCN 381324

Merit-based Incentive Payment System (MIPS)

Final score
91.32 of 100Reported as group
Quality
94.3
Improvement activities
40
Cost
78.66

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
201900883NP-PPORMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bodywise Chiropractic PC CurrentSince Jul 17, 2023 Accepting new patients
Rimc LLC Family CurrentSince Oct 1, 2022 Accepting new patients

Locations

1245 NW 4th St
Ste 201
Redmond, OR 97756
Phone (541) 323-4545

707 SW 9th St
Redmond, OR 97756
Phone (541) 418-4424

Interoperability endpoints

  • Direct secure messaging: destiny.knocker@rmc1.eclinicaldirectplus.com

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 and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1557187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1982269742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 NW 4TH ST STE 201",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977561680",
            "telephone_number": "541-323-4545",
            "fax_number": "541-323-4546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 NW 4TH ST STE 201",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977561680",
            "telephone_number": "541-323-4545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOCKER",
        "first_name": "DESTINY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-07",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201900883NP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redmond, OR

Sources for this page

Verify at the official NPI Registry.