MRS. M. MICHELLE KNEPPER (MMS PA-C) – Medical Physician Assistant, NPI 1043459654
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,689 PHYSICIAN ASSISTANT in PA
Provider Addresses for MRS. M. MICHELLE KNEPPER (MMS PA-C)
PO BOX 620606
FORT NOVOSEL, AL 363620606
Phone: (334) 255-7000
Type: Mailing
809 TURNPIKE AVE
CLEARFIELD, PA 168301232
Phone: (814) 375-3489
Fax: (804) 503-4498
Type: Location
301 Andrews Ave
Lyster Army Health Clinic
Fort Rucker, AL 36362
Phone: (334) 255-7000
Type: Location
Lyster Army Health Clinic, 301, Andrews Avenue, Dale County, Alabama, 36362, United States
LYSTER ARMY HEALTH CLINIC
FORT RUCKER, AL 36362
Phone: (334) 255-7000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-10-07
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 5 Medicare enrollment records; no due dates published yet.
Enrollment records
5
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160212001536 | I | Physician Assistant | NC | TBD |
| I20161020002147 | I | Physician Assistant | WV | TBD |
| I20170620001805 | I | Physician Assistant | CA | TBD |
| I20240308000097 | I | Physician Assistant | PA | TBD |
| I20251007003537 | I | Physician Assistant | NY | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 36362)
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Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | NY | |
| H E M A T O L O G Y/ O N C O L O G Y | NY | |
| U R O L O G Y | NY | |
| Physician Assistant | NY | |
| O B S T E T R I C S/ G Y N E C O L O G Y | NY | |
| - | NY | |
| Certified Registered Nurse Anesthetist (Crna) | NY | |
| - | NY | |
| Physician Assistant | NY | |
| - | NY |
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