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ELIZABETH KNUDSEN CRNP
NPI 1104466853
Nurse Practitioner - Gerontology in Philadelphia, PA

Active since January 10, 2020PECOS EnrolledAccepts Medicare Assignment
85.48/100
CMS Quality Rating
3701 MARKET STREET, 7TH FLOOR, SUITE 741, PHILADELPHIA, PA 19104(516) 428-9058 Get Directions Write a Review

NPPES record last updated: July 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 18, 2024, Jan 10, 2020 (2 updates tracked since 2020).

About Elizabeth Knudsen Crnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELIZABETH KNUDSEN CRNP (NPI 1104466853) is an individual gerontology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP026449) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1104466853
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameELIZABETH KNUDSENCredential: CRNP
Location Address3701 MARKET STREET, 7TH FLOOR, SUITE 741Philadelphia, PA 19104-5502
Mailing Address3701 Market Street, 7th FloorPhiladelphia, PA 19104 · (516) 428-9058
Phone(516) 428-9058
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJanuary 10, 2020
Last NPPES UpdateJuly 18, 20242 updates tracked since enumeration
NPPES CertifiedJuly 16, 2022
✔ NPI 1104466853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in PA · SP026449
3701 MARKET STREET, Philadelphia, PA 19104
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Elizabeth Knudsen Crnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6800227182
PECOS Enrollment IDI20240909004709
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
17 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

85.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.6
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
9 suppliers77 claims10,650 services$0.36 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
3 suppliers11 claims1,440 services$0.24 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
10 suppliers68 claims68 services$17.89 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
6 suppliers22 claims22 services$12.18 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHAEL A STAWNYCHY CRNP
Nurse Practitioner (Adult Health)
3701 MARKET STREET, EDWARD COOPER PRACTICE - 6TH FLOOR
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-2250
OANA TOMESCU MD
Internal Medicine
3701 MARKET STREET, 6TH FLOOR, SUITE 640
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-2250
DR. SALINA BAKSHI M.D.
Internal Medicine
3701 MARKET STREET, 6TH FLOOR, SUITE 640
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-2250
KYRA C WILLIAMS MD
Obstetrics & Gynecology (Obstetrics)
3701 MARKET STREET, 3RD FLOOR
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-6035
JAYA AYSOLA MD
Internal Medicine
3701 MARKET STREET, 6TH FLOOR, SUITE 640
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-2250
PHILIP A MASTERS MD
Hospitalist
3701 MARKET STREET, 6TH FLOOR, SUITE 640
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-2250
ANDREW WALTERS MAIER MD
Internal Medicine
3701 MARKET STREET, 6TH FLOOR, SUITE 640
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-2250
DAVID JACOB AIZENBERG MD
Internal Medicine
3701 MARKET STREET, 6TH FLOOR, SUITE 640
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-2250

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elizabeth Knudsen's NPI number?

The NPI number for Elizabeth Knudsen is 1104466853. It was assigned to this individual provider in the NPPES registry on January 10, 2020.

Where is Elizabeth Knudsen located?

Elizabeth Knudsen practices at 3701 Market Street 7th Floor, Suite 741, Philadelphia, PA 19104. The listed phone number is (516) 428-9058.

What is Elizabeth Knudsen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Elizabeth Knudsen enrolled in Medicare?

Yes. Elizabeth Knudsen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Elizabeth Knudsen was last updated on July 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.