DR. KARA JEAN KNICKERBOCKER D.O.
NPI 1871027243
Pediatrics in Wright Patterson Afb, OH

Active since April 12, 2017PECOS Enrolled
4881 SUGAR MAPLE DR, WRIGHT PATTERSON AFB, OH 45433(937) 257-6991 Get Directions Write a Review

NPPES record last updated: December 17, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 17, 2020, Apr 12, 2017 (2 updates tracked since 2017).

About Dr. Kara Jean Knickerbocker D.o. NPPES

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

DR. KARA JEAN KNICKERBOCKER D.O. (NPI 1871027243) is an individual pediatrics provider in Wright Patterson Afb, Ohio, licensed in Ohio (34.013579) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS and maintains a secondary practice location in Dayton.

NPPES Registry Identity

NPI1871027243
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. KARA JEAN KNICKERBOCKERCredential: D.O.
Location Address4881 SUGAR MAPLE DRWright Patterson Afb, OH 45433-5529
Mailing Address13704 Middleton PikeBowling Green, OH 43402-9480
Sole ProprietorNo
Enumeration DateApril 12, 2017
Last NPPES UpdateDecember 17, 20202 updates tracked since enumeration
NPPES CertifiedDecember 17, 2020
NPI 1871027243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in OH · 34.013579
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
4881 SUGAR MAPLE DR, Wright Patterson Afb, OH 45433

Other Names 1

Former Name (1)Dr. Kara Jean Dickey

Secondary Practice Location 1

Location 11 Childrens PlzDayton, OH 45404-1873 · Phone (937) 641-3000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Kara Jean Knickerbocker D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45433 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Pharmacist
4881 SUGAR MAPLE DR
FAIRBORN, OH 45433
Pharmacist
4881 SUGAR MAPLE DR
WRIGHT PATTERSON AFB, OH 45433
Internal Medicine
4881 SUGAR MAPLE DR
WPAFB, OH 45433
Military Health Care Provider (Independent Duty Medical Technicians)
4881 SUGAR MAPLE DR
WRIGHT PATTERSON AFB, OH 45433
Radiology (Nuclear Radiology)
4881 SUGAR MAPLE DR, 88 DTS/SGQX
WRIGHT PATTERSON AFB, OH 45433
Dietitian, Registered
4881 SUGAR MAPLE DR
WPAFB, OH 45433
Military Health Care Provider (Independent Duty Medical Technicians)
4881 SUGAR MAPLE DR
WRIGHT PATTERSON AFB, OH 45433
Radiologic Technologist (Radiation Therapy)
4881 SUGAR MAPLE DR, 88TH MDOS/SGOMR
WRIGHT PATTERSON AFB, OH 45433

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 Kara Knickerbocker's NPI number?

The NPI number for Kara Knickerbocker is 1871027243. It was assigned to this individual provider in the NPPES registry on April 12, 2017. The provider is also known as Dr. Kara Jean Dickey.

Where is Kara Knickerbocker located?

Kara Knickerbocker practices at 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433. The listed phone number is (937) 257-6991.

What is Kara Knickerbocker's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Kara Knickerbocker enrolled in Medicare?

Yes. Kara Knickerbocker is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kara Knickerbocker was last updated on December 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.