DR. DEBORAH KNUDSON (MD) – Psychiatry Physician, NPI 1104016633

DR. DEBORAH KNUDSON (MD) is a healthcare provider. based in Tampa, Florida. specializing in PSYCHIATRY. They hold the professional credentials MD. They hold a License No. ME131782 (FL). The NPI Number for DR. DEBORAH KNUDSON (MD) is 1104016633

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. DEBORAH KNUDSON (MD)
NPI
1104016633
Phone
(813) 974-8900
Address
3515 E Fletcher Ave # Mdc14
Enumeration Date
31 July 2007
Last Update Date
20 April 2026

Doctor Profile

Medical School Name
UNIVERSITY OF PUERTO RICO SCHOOL OF MEDICINE
Secondary Phone
8136782373
Graduation Year
2005 (21 years ago)
PAC ID
3476733809
Group Practice PAC ID
5092120030
Professional Enrollment ID
I20171003004681
Address ID
FL336147122TA4700XAVEX404
Telehealth
Yes

Contacts

Secure Messaging
dknudsongonzalez133131@direct.tgh.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness95
Years active:18State licenses:2Other names

1,953 PSYCHIATRY in FL

Provider Addresses for DR. DEBORAH KNUDSON (MD)

  • 3515 E Fletcher Ave # Mdc14

    Tampa, FL 336134706

    Phone: (813) 974-8900

    Type: Location

  • 1051 Beacon St Ste 203B

    Brookline, MA 024465744

    Phone: (857) 201-0228

    Fax: (857) 270-7245

    Type: Location

  • 3515 E FLETCHER AVE # MDC14

    TAMPA, FL 336134706

    Phone: (813) 974-8900

    Type: Location

  • 4700 N Habana Ave

    Tampa, FL 336147160

    Phone: (941) 363-0087

    Type: Location

  • 809 S Fremont Ave

    Tampa, FL 336062814

    Phone: (813) 409-1729

    Type: Location

  • 1051 Beacon St

    Brookline, MA 024465685

    Phone: (857) 201-0228

    Fax: (857) 270-7245

    Type: Location

  • 3848 FLATIRON LOOP UNIT 102

    WESLEY CHAPEL, FL 335447825

    Phone: (857) 201-0228

    Type: Location

  • 809, South Fremont Avenue, Hyde Park, Tampa, Hillsborough County, Florida, 33606, United States

    TAMPA, FL 336062814

    Phone: (813) 409-1729

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $9,168.

Total Amount is formed as General ($9,168) + Research ($0) + Ownership ($0) = $9,168.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Biogen, Inc. ($9,168).

Total Amount

$9,168

General + Research + Ownership

Payments

6

Total payment records

General Amount

$9,168

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Biogen, Inc.$9,168
View all Open Payments →|Open Payments Risk Radar →

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: 2017-10-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20171003004681IPsychiatryFLTBD

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.

Verify on CMS Revalidation Lookup Tool

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 33613)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5092120030View full group profile
NameSpecialtyState
Clinical PsychologistMD
Clinical PsychologistRI
Clinical PsychologistIL
Clinical PsychologistFL
Clinical Social WorkerFL
P S Y C H I A T R YFL
Clinical PsychologistFL
Nurse PractitionerFL
Clinical Social WorkerMD
Clinical PsychologistKY

Reviews

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Frequently asked questions

Is DR. DEBORAH KNUDSON (MD) listed with a National Provider Identifier?
Yes — DR. DEBORAH KNUDSON (MD) has NPI 1104016633 on file in the registry.
Is DR. DEBORAH KNUDSON (MD) shown as active in public data?
Registry records indicate DR. DEBORAH KNUDSON (MD) maintains an active NPI.
What area of care is associated with DR. DEBORAH KNUDSON (MD)?
DR. DEBORAH KNUDSON (MD)'s record emphasizes Psychiatry Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. DEBORAH KNUDSON (MD)?
Directory geography for DR. DEBORAH KNUDSON (MD) centers on Tampa, Florida.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.