KIM CHRISTOPHER KNUDSON (D.O.) – Psychiatry Physician, NPI 1457885527

KIM CHRISTOPHER KNUDSON (D.O.) is a healthcare provider. based in Gainesville, Florida. specializing in PSYCHIATRY. They hold the professional credentials D.O.. They hold a License No. O-1570 (ID). The NPI Number for KIM CHRISTOPHER KNUDSON (D.O.) is 1457885527

Main info

Male
9 Years Of Experience
Name
KIM CHRISTOPHER KNUDSON (D.O.)
NPI
1457885527
Phone
(352) 294-4945
Address
4037 NW 86th Ter
Enumeration Date
16 April 2017
Last Update Date
7 June 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2083231125
Graduation Year
2017 (9 years ago)
PAC ID
2668745514
Group Practice PAC ID
7810974904
Professional Enrollment ID
I20220804001330
Address ID
ID837049219BO413XXSTXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:9State licenses:1Digital endpointsOther names

1,954 PSYCHIATRY in FL

Provider Addresses for KIM CHRISTOPHER KNUDSON (D.O.)

  • 4037 NW 86th Ter

    Rm. 3154

    Gainesville, FL 326069277

    Phone: (352) 294-4945

    Type: Location

  • 413 N Allumbaugh St Ste 101

    Boise, ID 837049219

    Phone: (208) 323-1125

    Fax: (208) 954-5598

    Type: Location

  • UF Health Springhill I, 4037, Northwest 86th Terrace, Gainesville, Alachua County, Florida, 32606, United States

    RM. 3154

    GAINESVILLE, FL 326069277

    Phone: (352) 294-4945

    Type: Mailing

  • 190 E BANNOCK ST RM 3154

    BOISE, ID 837126241

    Phone:

    Type: Mailing

  • 3525 E LOUISE DR STE 250

    MERIDIAN, ID 836426303

    Phone: (208) 381-7312

    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: 2022-08-04

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
I20220804001330IPsychiatryIDTBD

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 32606)

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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: 7810974904View full group profile
NameSpecialtyState
Physician AssistantID
Physician AssistantID
Nurse PractitionerID
-ID
Nurse PractitionerID
Nurse PractitionerID
Physician AssistantID
Nurse PractitionerID
Nurse PractitionerID

Reviews

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Frequently asked questions

How is KIM CHRISTOPHER KNUDSON (D.O.) identified in CMS data?
CMS-hosted NPPES data lists KIM CHRISTOPHER KNUDSON (D.O.) with NPI 1457885527.
Does the file indicate KIM CHRISTOPHER KNUDSON (D.O.) is practicing under active NPI?
Directory data currently reports KIM CHRISTOPHER KNUDSON (D.O.) as active.
What is KIM CHRISTOPHER KNUDSON (D.O.)'s primary classification?
Psychiatry Physician is the headline specialty for KIM CHRISTOPHER KNUDSON (D.O.) here. Clinical services aligned with this taxonomy classification.
What area does KIM CHRISTOPHER KNUDSON (D.O.) serve?
KIM CHRISTOPHER KNUDSON (D.O.)'s listing highlights Gainesville, Florida; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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