MR. KEVIN MICHAEL KNACK JR. N.P.
NPI 1376852772
Nurse Practitioner - Psychiatric/Mental Health in Mill Valley, CA
About Mr. Kevin Michael Knack Jr. N.p. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. KEVIN MICHAEL KNACK JR. N.P. (NPI 1376852772) is an individual psychiatric/mental health provider in Mill Valley, California, licensed in Washington (AP60313580) and active in the NPI registry since October 2010. He is enrolled in Medicare PECOS, maintains a secondary practice location in Ukiah, and is a graduate of Other (2010).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 1
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
Mr. Kevin Michael Knack Jr. N.p. 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.
Medicare Billing Reassignments
2Medicare enrollment records show Kevin Knack reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Mill Valley, CA 94941
- Reassigned Medicare billing, California enrollment
- 5 clinicians in this Medicare group
Ukiah, CA 95482
- Reassigned Medicare billing, California enrollment
- 3 clinicians in this Medicare group
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 94941 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MILL VALLEY, CA 94941
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 Kevin Knack's NPI number?
The NPI number for Kevin Knack is 1376852772. It was assigned to this individual provider in the NPPES registry on October 2, 2010.
Where is Kevin Knack located?
Kevin Knack practices at 655 Redwood Hwy Frontage Rd Ste 240, Mill Valley, CA 94941. The listed phone number is (866) 247-4292.
What is Kevin Knack's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Kevin Knack enrolled in Medicare?
Yes. Kevin Knack 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 organizations bill Medicare for Kevin Knack's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Knack reassigns Medicare benefits to 2 organizations: Segal Telepsychiatry Network (Mill Valley, CA) and Anchor Health Management, Inc. (Ukiah, CA). Each 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 Kevin Knack'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 Kevin Knack was last updated on September 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Mr. Kevin Michael Knack Jr., N.P. · NPI 1376852772
Psychiatric/Mental Health physician in Mill Valley, California. Individual provider, active in the CMS NPPES registry since October 2, 2010.
## Identity
- **NPI:** 1376852772 (Entity type: Individual)
- **Enumerated:** October 2, 2010
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** AP60313580 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 655 REDWOOD HWY FRONTAGE RD STE 240, Mill Valley, CA 94941-3055
- **Phone:** (866) 247-4292 · **Fax:** (866) 247-4292
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Segal Telepsychiatry Network (NPI 1245529296, Mill Valley, CA); Anchor Health Management, Inc. (NPI 1598524423, Ukiah, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** September 2, 2025
- **Other identifiers:** Medicaid 2025451 (WA)
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Source: [NPI Profile](https://npiprofile.com/npi/1376852772) · Data from the CMS NPPES public registry.