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

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: November 01, 2026.

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

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Nathaniel Knoll reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Davis Street Community Center Incorporated
Same address
Federally Qualified Health Center (FQHC)
3081 TEGARDEN
San Leandro, CA 94577
  • Reassigned Medicare billing, California enrollment
  • 42 clinicians in this Medicare group
NPI 1215358924 (510) 347-4620

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

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.

DEVONNA JACOBS
Counselor
3081 TEAGARDEN ST
SAN LEANDRO, CA 94577
Alameda County (510) 347-4620
MOLLY RUSSO
Counselor (Mental Health)
3081 TEAGARDEN ST
SAN LEANDRO, CA 94577
Alameda County (510) 347-4620
LEILANI HART
Student in an Organized Health Care Education/Training Program
3081 TEAGARDEN ST
SAN LEANDRO, CA 94577
Alameda County (510) 347-4620
MS. BRITTANY SCHNEBLY
Psychologist (School)
3081 TEAGARDEN ST
SAN LEANDRO, CA 94577
Alameda County (510) 347-4620
DANIELA VIANEY LUQUIN I
Dental Assistant
3081 TEAGARDEN ST
SAN LEANDRO, CA 94577
Alameda County (510) 347-4620
VICTOR AVALOS
Counselor (Mental Health)
3081 TEAGARDEN ST
SAN LEANDRO, CA 94577
Alameda County (510) 347-4620
MRS. EMMA RUTH CARTER-ALEXANDER
Student in an Organized Health Care Education/Training Program
3081 TEAGARDEN ST
SAN LEANDRO, CA 94577
Alameda County (510) 347-4620
DAVIS STREET COMMUNITY CENTER
Community/Behavioral Health
3081 TEAGARDEN ST
SAN LEANDRO, CA 94577
Alameda County (510) 347-4620

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 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.

Where is Nathaniel Knoll located?

Nathaniel Knoll practices at 3081 Teagarden St, San Leandro, CA 94577. The listed phone number is (510) 347-9457.

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.

Is Nathaniel Knoll enrolled in Medicare?

Yes. Nathaniel Knoll 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.

Which organization bills Medicare for Nathaniel Knoll's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nathaniel Knoll reassigns Medicare benefits to The Davis Street Community Center Incorporated (San Leandro, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nathaniel Knoll's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nathaniel Knoll was last updated on April 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.