AMY JOANNE KNACKENDOFFEL PA-C
NPI 1598333452
Physician Assistant - Medical in Farmington, NM

Q: What is Amy Knackendoffel's NPI number?

The NPI number for Amy Knackendoffel is 1598333452. It was assigned to this individual provider in the NPPES registry on June 16, 2021.

Q: What is Amy Knackendoffel's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Amy Knackendoffel was last updated on December 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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 June 16, 2021PECOS EnrolledAccepts Medicare Assignment

801 W MAPLE ST, FARMINGTON, NM 87401(505) 609-2000 Get Directions Write a Review

NPPES record last updated: December 11, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Dec 11, 2024, Jul 26, 2024, Jul 1, 2021 and 1 more (4 updates tracked since 2021).

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About Amy Joanne Knackendoffel Pa-c NPPES

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

AMY JOANNE KNACKENDOFFEL PA-C (NPI 1598333452) is an individual medical provider in Farmington, New Mexico, licensed in New Mexico (PA2024-0057) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Telluride, and is a graduate of Rocky Vista University College Of Osteopathic Med (2020).

NPPES Registry Identity

NPI1598333452

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameAMY JOANNE KNACKENDOFFELCredential: PA-C

Location Address801 W MAPLE STFarmington, NM 87401-5698

Mailing AddressPo Box 844088Dallas, TX 75284-4088 · (505) 609-2243 · Fax (505) 609-2259

Phone(505) 609-2000

Sole ProprietorNo

Medical School CMSRocky Vista University College Of Osteopathic MedGraduated 2020

Enumeration DateJune 16, 2021

Last NPPES UpdateDecember 11, 20244 updates tracked since enumeration

NPPES CertifiedDecember 11, 2024

✔ NPI 1598333452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

Licenses✔ Licensed in NM · PA2024-0057✔ Licensed in CO · PA.0006771

Also ListedFamily MedicineTaxonomy 207Q00000X · License PA.0006771 (CO)

801 W MAPLE ST, Farmington, NM 87401

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Secondary Practice Location 1

Location 1500 W Pacific AveTelluride, CO 81435 · Phone (970) 728-3848

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

Amy Joanne Knackendoffel Pa-c 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 ID6002218351

PECOS Enrollment IDI20210709001211

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 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.

20 services20 patients

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.

13 services13 patients

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.

MRS. REBECCA JO MUNOZ PTA

Physical Therapy Assistant