TINA M KNEZEVIC PAC
NPI 1457724072
Physician Assistant - Medical in Surprise, AZ

Active since November 04, 2015PECOS EnrolledAccepts Medicare Assignment
13991 W GRAND AVE STE 105, SURPRISE, AZ 85374(800) 233-3264 Get Directions Write a Review

NPPES record last updated: October 6, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 6, 2022, Aug 5, 2019, Nov 13, 2018 (3 updates tracked since 2018).

About Tina M Knezevic Pac NPPES

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

TINA M KNEZEVIC PAC (NPI 1457724072) is an individual medical provider in Surprise, Arizona, licensed in Arizona (6217) and active in the NPI registry since November 2015. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of At Still Un Of Hlth Sciences, Col Of Osteo Med, Mesa (2015).

NPPES Registry Identity

NPI1457724072
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameTINA M KNEZEVICCredential: PAC
Location Address13991 W GRAND AVE STE 105Surprise, AZ 85374-3065
Mailing Address13991 W Grand Ave Ste 105Surprise, AZ 85374-3065 · (800) 233-3264
Sole ProprietorNo
Medical School CMSAt Still Un Of Hlth Sciences, Col Of Osteo Med, MesaGraduated 2015
Enumeration DateNovember 4, 2015
Last NPPES UpdateOctober 6, 20223 updates tracked since enumeration
NPPES CertifiedOctober 6, 2022
NPI 1457724072 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 AZ · 6217
13991 W GRAND AVE STE 105, Surprise, AZ 85374

Other Names 1

Former Name (1)Tina M Duddy Pac

Secondary Practice Locations 2

Location 121731 N 77th AvePeoria, AZ 85382-2109 · Phone (623) 561-3300
Location 26520 W Happy Valley Rd, Ste. B103Glendale, AZ 85310-2615 · Phone (623) 825-3700 · Fax (623) 825-7601

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

Tina M Knezevic Pac 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 ID7315241056
PECOS Enrollment IDI20160201001976
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 2

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.
49 services36 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
14 services12 patients

Other Providers at the Same Location NPPES 3

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

Family Medicine
13991 W GRAND AVE STE 105
SURPRISE, AZ 85374
Pharmacist
13991 W GRAND AVE STE 105
SURPRISE, AZ 85374
Family Medicine
13991 W GRAND AVE STE 105
SURPRISE, AZ 85374

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 Tina Knezevic's NPI number?

The NPI number for Tina Knezevic is 1457724072. It was assigned to this individual provider in the NPPES registry on November 4, 2015. The provider is also known as Tina M Duddy Pac.

Where is Tina Knezevic located?

Tina Knezevic practices at 13991 W Grand Ave Ste 105, Surprise, AZ 85374. The listed phone number is (800) 233-3264.

What is Tina Knezevic's specialty?

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

Is Tina Knezevic enrolled in Medicare?

Yes. Tina Knezevic 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 Tina Knezevic accept?

Health plans from Blue Cross Blue Shield of Arizona list Tina Knezevic 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 Tina Knezevic was last updated on October 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.