JOSHUA DAVID KNICKERBOCKER
NPI 1386505543
Nurse Anesthetist, Certified Registered in Fort Worth, TX
About Joshua David Knickerbocker NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOSHUA DAVID KNICKERBOCKER (NPI 1386505543) is an individual nurse anesthetist, certified registered in Fort Worth, Texas, licensed in Texas (1225744) and active in the NPI registry since November 2025. He is affiliated with Baylor Scott & White All Saints Medical Center Fort Worth and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Joshua David Knickerbocker 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 Reassignment
Medicare enrollment records show Joshua Knickerbocker reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fort Worth, TX 76104
- Reassigned Medicare billing, Texas enrollment
- 3,167 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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Baylor Scott & White All Saints Medical Center Fort Worth
Acute Care Hospitals · Fort Worth, TXBaylor Scott & White Heart & Vascular Hospital - Dallas
Acute Care Hospitals · Dallas, TXBaylor Scott And White Surgical Hospital Fortworth
Acute Care Hospitals · Fort Worth, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 76104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
FORT WORTH, TX 76104
FORT WORTH, TX 76104
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 Joshua Knickerbocker's NPI number?
The NPI number for Joshua Knickerbocker is 1386505543. It was assigned to this individual provider in the NPPES registry on November 18, 2025.
Where is Joshua Knickerbocker located?
Joshua Knickerbocker practices at 1400 8th Ave, Fort Worth, TX 76104. The listed phone number is (817) 926-2544.
What is Joshua Knickerbocker's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Joshua Knickerbocker enrolled in Medicare?
Yes. Joshua Knickerbocker 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 Joshua Knickerbocker's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Joshua Knickerbocker reassigns Medicare benefits to Healthtexas Provider Network (Fort Worth, TX). 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 Joshua Knickerbocker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Joshua Knickerbocker accept?
Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Joshua Knickerbocker 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.
Is Joshua Knickerbocker affiliated with any hospitals?
According to CMS data, Joshua Knickerbocker is affiliated with Baylor Scott & White All Saints Medical Center Fort Worth, Baylor Scott & White Heart & Vascular Hospital - Dallas and Baylor Scott And White Surgical Hospital Fortworth.
When was this NPI record last updated?
The NPPES record for Joshua Knickerbocker was last updated on January 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Joshua David Knickerbocker · NPI 1386505543
Nurse Anesthetist, Certified Registered physician in Fort Worth, Texas. Individual provider, active in the CMS NPPES registry since November 18, 2025.
## Identity
- **NPI:** 1386505543 (Entity type: Individual)
- **Enumerated:** November 18, 2025
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 1225744 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 1400 8TH AVE, Fort Worth, TX 76104-4110
- **Phone:** (817) 926-2544
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Healthtexas Provider Network (NPI 1295628709, Fort Worth, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** January 27, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1386505543) · Data from the CMS NPPES public registry.