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NICOLE ROSE KNISLEY PA-C
NPI 1194011320
Physician Assistant - Medical in Canton, MI

Active since June 27, 2011PECOS Enrolled
1600 S CANTON CENTER RD, #140, CANTON, MI 48188(734) 398-7561(734) 398-7566 Get Directions Write a Review

NPPES record last updated: July 28, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nicole Rose Knisley Pa-c NPPES

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

NICOLE ROSE KNISLEY PA-C (NPI 1194011320) is an individual medical provider in Canton, Michigan, licensed in Michigan (5601006025) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194011320
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameNICOLE ROSE KNISLEYCredential: PA-C
Location Address1600 S CANTON CENTER RD, #140Canton, MI 48188-1992
Mailing Address1600 S Canton Center Rd, #140Canton, MI 48188-1992 · (734) 398-7561 · Fax (734) 398-7566
Phone(734) 398-7561
Fax(734) 398-7566
Sole ProprietorYes
Enumeration DateJune 27, 2011
Last NPPES UpdateJuly 28, 2014
✔ NPI 1194011320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in MI · 5601006025
1600 S CANTON CENTER RD, Canton, MI 48188
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Rose Knisley Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
41 services40 patients

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.

CHRISTINE GAY BRENNER MD
Pediatrics
1600 S CANTON CENTER RD, STE 200
CANTON, MI 48188
Wayne County (734) 713-4000
MARY NIXON MD
Family Medicine
1600 S CANTON CENTER RD
CANTON, MI 48188
Wayne County (734) 398-7880
CELINA PITTIGLIO PA-C
Physician Assistant
1600 S CANTON CENTER RD
CANTON, MI 48188
Wayne County (734) 844-8743
LEWIS WINDER MD
Internal Medicine
1600 S CANTON CENTER RD
CANTON, MI 48188
Wayne County (734) 844-8743
HUNG WEI WAYNE CHUANG MD
Student in an Organized Health Care Education/Training Program
1600 S CANTON CENTER RD, STE 220
CANTON, MI 48188
Wayne County (734) 398-8790
DR. DAVID HOWARD SEAMAN M.D. P.C.
Specialist
1600 S CANTON CENTER RD, STE 360
CANTON, MI 48188
Wayne County (734) 394-2661
ST JOSEPH MERCY HOSPITAL
Clinic/Center (Infusion Therapy)
1600 S CANTON CENTER RD
CANTON, MI 48188
Wayne County (734) 398-8712
CONCENTRA MEDICAL CENTER -- CANTON
Clinic/Center (Occupational Medicine)
1600 S CANTON CENTER RD, SUITE 140
CANTON, MI 48188
Wayne County (734) 398-7550

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 Nicole Knisley's NPI number?

The NPI number for Nicole Knisley is 1194011320. It was assigned to this individual provider in the NPPES registry on June 27, 2011.

Where is Nicole Knisley located?

Nicole Knisley practices at 1600 S Canton Center Rd #140, Canton, MI 48188. The listed phone number is (734) 398-7561.

What is Nicole Knisley's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Nicole Knisley enrolled in Medicare?

Yes. Nicole Knisley is registered in the Medicare PECOS enrollment system.

What insurance does Nicole Knisley accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Nicole Knisley as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nicole Knisley was last updated on July 28, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.