KNACKSTEDT MEDICAL GROUP INC.
NPI 1841651809
Nurse Practitioner - Family in Los Ranchos, NM

Active since March 17, 2016
7218 4TH ST NW, LOS RANCHOS, NM 87107(505) 730-5603(505) 554-2313 Get Directions Write a Review

NPPES record last updated: March 17, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Knackstedt Medical Group Inc. NPPES

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

KNACKSTEDT MEDICAL GROUP INC. (NPI 1841651809) is a healthcare organization registered as a family in Los Ranchos, New Mexico and active in the NPI registry since March 2016. The organization lists Shirley Knackstedt, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1841651809
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameKNACKSTEDT MEDICAL GROUP INC.
Location Address7218 4TH ST NWLos Ranchos, NM 87107-6624
Mailing Address7218 4th St NwLos Ranchos, NM 87107-6624 · (505) 730-5603 · Fax (505) 554-2313
Fax(505) 554-2313
Organization SubpartNo
Authorized OfficialShirley KnackstedtCo-owner · (505) 730-5603
Enumeration DateMarch 17, 2016
NPI 1841651809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X
7218 4TH ST NW, Los Ranchos, NM 87107

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Family)
7218 4TH ST NW
LOS RANCHOS, NM 87107

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 Knackstedt Medical Group Inc.'s NPI number?

The NPI number for Knackstedt Medical Group Inc. is 1841651809. It was assigned to this organization in the NPPES registry on March 17, 2016.

Where is Knackstedt Medical Group Inc. located?

Knackstedt Medical Group Inc. is located at 7218 4th St NW, Los Ranchos, NM 87107. The listed phone number is (505) 730-5603.

What is Knackstedt Medical Group Inc.'s specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Knackstedt Medical Group Inc. was last updated on March 17, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.