NATHANIEL KNOLL PMHNP - BC
NPI 1184469777
Nurse Practitioner - Psychiatric/Mental Health in San Leandro, CA

Q: What is Nathaniel Knoll's NPI number?

The NPI number for Nathaniel Knoll is 1184469777. It was assigned to this individual provider in the NPPES registry on June 26, 2024.

Q: What is Nathaniel Knoll's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Nathaniel Knoll was last updated on April 24, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 26, 2024PECOS EnrolledAccepts Medicare Assignment

3081 TEAGARDEN ST, SAN LEANDRO, CA 94577(510) 347-9457(510) 686-8806 Get Directions Write a Review

NPPES record last updated: April 24, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 11, 2025, Jun 26, 2024 (2 updates tracked since 2024).

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About Nathaniel Knoll Pmhnp - Bc NPPES

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

NATHANIEL KNOLL PMHNP - BC (NPI 1184469777) is an individual psychiatric/mental health provider in San Leandro, California, licensed in California (95030772) and active in the NPI registry since June 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1184469777

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameNATHANIEL KNOLLCredential: PMHNP - BC

Location Address3081 TEAGARDEN STSan Leandro, CA 94577-5720

Mailing Address3081 Teagarden StSan Leandro, CA 94577-5720 · (510) 347-4620

Phone(510) 347-9457

Fax(510) 686-8806

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateJune 26, 2024

Last NPPES UpdateApril 24, 20252 updates tracked since enumeration

NPPES CertifiedApril 24, 2025

✔ NPI 1184469777 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in CA · 95030772

3081 TEAGARDEN ST, San Leandro, CA 94577

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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

Nathaniel Knoll Pmhnp - Bc 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 ID3779009873

PECOS Enrollment IDI20250501002320

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94577 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

$104.51 typical visit price

range $69.00 – $202.35

Typical copayment $26.12 (range $17.25 – $50.58)

Most-billed visit code 99203

Established Patient

$119.48 typical visit price

range $23.44 – $166.46

Typical copayment $29.87 (range $5.86 – $41.61)

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.

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.

MS. YVETTE JENNIFER PAREDES

Student in an Organized Health Care Education/Training Program