JEREMY T KNOBLE CAA
NPI 1134650443
Anesthesiologist Assistant in Green Bay, WI

Q: What is Jeremy Knoble's NPI number?

The NPI number for Jeremy Knoble is 1134650443. It was assigned to this individual provider in the NPPES registry on March 27, 2017.

Q: What is Jeremy Knoble's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Q: When was this NPI record last updated?

The NPPES record for Jeremy Knoble was last updated on January 30, 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.

Active since March 27, 2017Accepts Medicare Assignment

744 S WEBSTER AVE, GREEN BAY, WI 54301(920) 433-3605(920) 433-3589 Get Directions Write a Review

NPPES record last updated: January 30, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 1, 2021, Mar 23, 2020, Mar 27, 2017 (3 updates tracked since 2017).

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About Jeremy T Knoble Caa NPPES

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

JEREMY T KNOBLE CAA (NPI 1134650443) is an individual anesthesiologist assistant in Green Bay, Wisconsin, licensed in Wisconsin (97-17) and active in the NPI registry since March 2017. He is affiliated with West Allis Memorial Hospital and is a graduate of Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University (2017).

NPPES Registry Identity

NPI1134650443

Entity TypeIndividualMale

Primary Taxonomy367H00000X

Provider Legal NameJEREMY T KNOBLECredential: CAA

Location Address744 S WEBSTER AVEGreen Bay, WI 54301-3581

Mailing AddressPo Box 22487Green Bay, WI 54305-2487 · (920) 445-7210 · Fax (920) 445-7289

Phone(920) 433-3605

Fax(920) 433-3589

Sole ProprietorNo

Medical School CMSClvlnd Clinic Lerner College Of Med Of Case Wstn Rsv UniversityGraduated 2017

Enumeration DateMarch 27, 2017

Last NPPES UpdateJanuary 30, 20243 updates tracked since enumeration

NPPES CertifiedJanuary 30, 2024

✔ NPI 1134650443 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367H00000X

License✔ Licensed in WI · 97-17

Definition

An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

744 S WEBSTER AVE, Green Bay, WI 54301

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jeremy T Knoble Caa 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 ID5294006037

PECOS Enrollment IDI20170811002582

Medicare Billing Reassignments

Medicare enrollment records show Jeremy Knoble reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Bellin Anesthesia Associates, S.C.

Same address

Pain Medicine

744 S WEBSTER AVE
Green Bay, WI 54301

Reassigned Medicare billing, Wisconsin enrollment
Medicare enrollment name: Bellin Anesthesia Associates Sc
61 clinicians in this Medicare group

NPI 1558318410 (920) 433-3500

Bellin Memorial Hospital Inc

Same address

Family Medicine

744 S WEBSTER AVE
Green Bay, WI 54301

Reassigned Medicare billing, Wisconsin enrollment
875 clinicians in this Medicare group

NPI 1033172390 (920) 445-7272

Aurora Medical Group, Inc.

53 mi

Clinic/Center

2414 KOHLER MEMORIAL DR
Sheboygan, WI 53081

Reassigned Medicare billing, Wisconsin enrollment
4,609 clinicians in this Medicare group

NPI 1174670244 (920) 457-4461

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Anesthesia for other procedure on large bowel using an endoscope 00811

Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.

13 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

West Allis Memorial Hospital

Acute Care Hospitals · West Allis, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520139

Location8901 W Lincoln AveWest Allis, WI 53227 · Milwaukee County

Emergency services Birthing friendly

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.

TAMMY ANN MOTQUIN

Nurse Practitioner (Family)