MS. STEPHANIE AYITA KNUPPENBURG MD
NPI 1962816876
Family Medicine in West Palm Beach, FL

Q: What is Stephanie Knuppenburg's NPI number?

The NPI number for Stephanie Knuppenburg is 1962816876. It was assigned to this individual provider in the NPPES registry on June 18, 2014. The provider is also known as Stephanie Avita Jugmohan MD.

Q: What is Stephanie Knuppenburg's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: Is Stephanie Knuppenburg enrolled in Medicare?

No. Stephanie Knuppenburg has opted out of Medicare through April 25, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Active since June 18, 2014Opted out of Medicare · through Apr 25, 2028

4700 N CONGRESS AVE STE 103, WEST PALM BEACH, FL 33407(561) 622-6111(855) 215-9930 Get Directions Write a Review

NPPES record last updated: August 9, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 9, 2021, Aug 15, 2017 (2 updates tracked since 2017).

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About Ms. Stephanie Ayita Knuppenburg Md NPPES

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

MS. STEPHANIE AYITA KNUPPENBURG MD (NPI 1962816876) is an individual family medicine provider in West Palm Beach, Florida, licensed in Florida (ME150156) and active in the NPI registry since June 2014. She has opted out of Medicare through April 25, 2028 and remains eligible to order and refer and maintains a secondary practice location in Jupiter.

NPPES Registry Identity

NPI1962816876

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameMS. STEPHANIE AYITA KNUPPENBURGCredential: MD

Location Address4700 N CONGRESS AVE STE 103West Palm Beach, FL 33407-3284

Mailing Address1094 Military TrlJupiter, FL 33458-7021 · (561) 622-6111 · Fax (552) 159-9308

Phone(561) 622-6111

Fax(855) 215-9930

Sole ProprietorYes

Enumeration DateJune 18, 2014

Last NPPES UpdateAugust 9, 20212 updates tracked since enumeration

NPPES CertifiedAugust 9, 2021

✔ NPI 1962816876 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in FL · ME150156✔ Licensed in AZ · 54346✔ Licensed in MI · 4301105575

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 4301105575 (MI)

4700 N CONGRESS AVE STE 103, West Palm Beach, FL 33407

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Other Names 1

Former Name (1)Stephanie Avita Jugmohan Md

Secondary Practice Location 1

Location 11094 Military TrlJupiter, FL 33458-7021 · Phone (561) 622-6111 · Fax (855) 215-9930

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Ms. Stephanie Ayita Knuppenburg Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 25, 2024 through April 25, 2028.

Opt-Out Effective DateApril 25, 2024

Opt-Out In Effect ThroughApril 25, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33407 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

$91.69 typical visit price

range $58.56 – $179.05

Typical copayment $22.92 (range $14.64 – $44.76)

Most-billed visit code 99203

Established Patient

$103.21 typical visit price

range $18.44 – $144.68

Typical copayment $25.80 (range $4.61 – $36.17)

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 6

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

THE MEDICAL GROUP OF SOUTH FLORIDA, INC

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