Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PHYLLIS KNICKERBOCKER CRNA
NPI 1528035144
Nurse Anesthetist, Certified Registered in Joplin, MO

Q: What is Phyllis Knickerbocker's NPI number?

The NPI number for Phyllis Knickerbocker is 1528035144. It was assigned to this individual provider in the NPPES registry on March 2, 2006.

Q: What is Phyllis Knickerbocker's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Active since March 02, 2006

2727 MCCLELLAND BLVD, JOPLIN, MO 64804(417) 781-2727(316) 652-0340 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Phyllis Knickerbocker Crna NPPES

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

PHYLLIS KNICKERBOCKER CRNA (NPI 1528035144) is an individual nurse anesthetist, certified registered in Joplin, Missouri, licensed in Missouri (1999137827) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1528035144

Entity TypeIndividualFemale

Primary Taxonomy367500000X

Provider Legal NamePHYLLIS KNICKERBOCKERCredential: CRNA

Location Address2727 MCCLELLAND BLVDJoplin, MO 64804-1626

Mailing AddressPo Box 760Joplin, MO 64802-0760 · (417) 624-3040 · Fax (316) 652-0340

Phone(417) 781-2727

Fax(316) 652-0340

Sole ProprietorNo

Enumeration DateMarch 2, 2006

Last NPPES UpdateJuly 13, 2026

✔ NPI 1528035144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in MO · 1999137827

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

2727 MCCLELLAND BLVD, Joplin, MO 64804

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Other Identifiers 1

Other108602AMO · Bcbs

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.

DEBRA HAMILTON RN, BSN, CWOCN

Registered Nurse

2727 MCCLELLAND BLVD
JOPLIN, MO 64804

Newton County (417) 659-6676

MISS RACHEL LYNN MORGAN OTR/L

Occupational Therapist

2727 MCCLELLAND BLVD
JOPLIN, MO 64804

Newton County (417) 621-2192

ST JOHNS REGIONAL MEDICAL CENTER

Family Medicine

2727 MCCLELLAND BLVD
JOPLIN, MO 64804

Newton County (417) 781-2727

CAROL WATTS PT

Physical Therapist

2727 MCCLELLAND BLVD
JOPLIN, MO 64804

Newton County (417) 781-2727

ST JOHN'S REGIONAL MEDICAL CENTER

General Acute Care Hospital

2727 MCCLELLAND BLVD, WOUND CARE
JOPLIN, MO 64804

Newton County (417) 781-2727

ST JOHNS REGIONAL MEDICAL CENTER

General Acute Care Hospital

2727 MCCLELLAND BLVD
JOPLIN, MO 64804

Newton County (417) 781-2727

MRS. DAWNYA MAE GIBBS

Occupational Therapist

2727 MCCLELLAND BLVD
JOPLIN, MO 64804

Newton County (417) 781-2727

ROBERT D. ARNCE M.D.

Emergency Medicine

2727 MCCLELLAND BLVD
JOPLIN, MO 64804

Newton County (417) 781-2727

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 Phyllis Knickerbocker's NPI number?

The NPI number for Phyllis Knickerbocker is 1528035144. It was assigned to this individual provider in the NPPES registry on March 2, 2006.

Where is Phyllis Knickerbocker located?

Phyllis Knickerbocker practices at 2727 Mcclelland Blvd, Joplin, MO 64804. The listed phone number is (417) 781-2727.

What is Phyllis Knickerbocker's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

When was this NPI record last updated?

The NPPES record for Phyllis Knickerbocker was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 31 days 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.