MR. KEVIN MICHAEL KNACK JR. N.P.
NPI 1376852772
Nurse Practitioner - Psychiatric/Mental Health in Mill Valley, CA

Q: 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.

Q: 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.

Q: 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 11 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.

Active since October 02, 2010PECOS EnrolledAccepts Medicare Assignment

73.79/100

CMS Quality Rating

655 REDWOOD HWY FRONTAGE RD STE 240, MILL VALLEY, CA 94941(866) 247-4292(866) 247-4292 Get Directions Write a Review

NPPES record last updated: September 2, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 2, 2025, Feb 1, 2023, Jan 27, 2021 and 4 more (7 updates tracked since 2018).

On this page

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 and is a graduate of Other (2010).

NPPES Registry Identity

NPI1376852772

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameMR. KEVIN MICHAEL KNACK JR.Credential: N.P.

Location Address655 REDWOOD HWY FRONTAGE RD STE 240Mill Valley, CA 94941-3055

Mailing Address655 Redwood Hwy Frontage Rd Ste 240Mill Valley, CA 94941-3055 · (866) 247-4292 · Fax (866) 247-4292

Phone(866) 247-4292

Fax(866) 247-4292

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateOctober 2, 2010

Last NPPES UpdateSeptember 2, 20257 updates tracked since enumeration

NPPES CertifiedAugust 28, 2025

✔ NPI 1376852772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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

Taxonomy Code363LP0808X

Licenses✔ Licensed in WA · AP60313580✔ Licensed in CA · 95014679

Also ListedRegistered NurseTaxonomy 163W00000X · License 95014679 (CA), RN60313579 (WA)

655 REDWOOD HWY FRONTAGE RD STE 240, Mill Valley, CA 94941

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Other Identifiers 1

Medicaid2025451WA

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

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.

PECOS PAC ID345487013

PECOS Enrollment IDI20210107001448

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

418 services133 patients

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.

New Patient

$104.67 typical visit price

range $69.07 – $202.63

Typical copayment $26.16 (range $17.26 – $50.65)

Most-billed visit code 99203

Established Patient

$119.61 typical visit price

range $23.44 – $166.64

Typical copayment $29.90 (range $5.86 – $41.66)

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.

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.

73.79/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

76.87

Promoting Interoperability

Improvement Activities

Cost

36.93

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SEGAL TELEPSYCHIATRY NETWORK, PLLC

Psychiatry & Neurology (Psychiatry)

655 REDWOOD HWY FRONTAGE RD STE 240
MILL VALLEY, CA 94941

Marin County (707) 205-7566

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.

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 11 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.