CARLY KNUDSEN FNP-C
NPI 1366092769
Nurse Practitioner - Family in Shelby Township, MI

Active since September 17, 2019PECOS EnrolledAccepts Medicare Assignment
50505 SCHOENHERR RD, STE 340, SHELBY TOWNSHIP, MI 48315(586) 731-8400(586) 731-8406 Get Directions Write a Review

NPPES record last updated: June 24, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 24, 2020, Oct 24, 2019, Sep 17, 2019 (3 updates tracked since 2019).

About Carly Knudsen Fnp-c NPPES

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

CARLY KNUDSEN FNP-C (NPI 1366092769) is an individual family provider in Shelby Township, Michigan, licensed in Michigan (4704317815) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1366092769
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCARLY KNUDSENCredential: FNP-C
Location Address50505 SCHOENHERR RD, STE 340Shelby Township, MI 48315-3140
Mailing Address50505 Schoenherr Rd, Ste 340Shelby Township, MI 48315-3140 · (586) 731-8400 · Fax (586) 731-8406
Fax(586) 731-8406
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 17, 2019
Last NPPES UpdateJune 24, 20203 updates tracked since enumeration
NPPES CertifiedJune 24, 2020
NPI 1366092769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MI · 4704317815
50505 SCHOENHERR RD, Shelby Township, MI 48315

Accepted Insurance

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

Carly Knudsen Fnp-c 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 ID42643215
PECOS Enrollment IDI20191202000187
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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
87 services38 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48315 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

Counselor
50505 SCHOENHERR RD, SUITE 270
SHELBY TOWNSHIP, MI 48315
Hospitalist
50505 SCHOENHERR RD, SUITE 340
SHELBY TOWNSHIP, MI 48315
Nurse Practitioner (Gerontology)
50505 SCHOENHERR RD, STE. 340
SHELBY TOWNSHIP, MI 48315
Podiatrist
50505 SCHOENHERR RD, SUITE 230
SHELBY TWP, MI 48315
Neurological Surgery
50505 SCHOENHERR RD, STE 200
SHELBY TWP, MI 48315
General Acute Care Hospital
50505 SCHOENHERR RD, SUITE 330
SHELBY TOWNSHIP, MI 48315
Pharmacy (Community/Retail Pharmacy)
50505 SCHOENHERR RD, SUITE 130
SHELBY TWP, MI 48315
Internal Medicine (Pulmonary Disease)
50505 SCHOENHERR RD, SUITE 290
SHELBY TWP, MI 48315

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 Carly Knudsen's NPI number?

The NPI number for Carly Knudsen is 1366092769. It was assigned to this individual provider in the NPPES registry on September 17, 2019.

Where is Carly Knudsen located?

Carly Knudsen practices at 50505 Schoenherr Rd Ste 340, Shelby Township, MI 48315. The listed phone number is (586) 731-8400.

What is Carly Knudsen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Carly Knudsen enrolled in Medicare?

Yes. Carly 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.

What insurance does Carly Knudsen accept?

Health plans from Priority Health list Carly Knudsen 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 Carly Knudsen was last updated on June 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.