LAUREEN S KNUTESON (PA-C) – Surgical Physician Assistant, NPI 1326096124
Surgical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,499 PHYSICIAN ASSISTANT in IN
Provider Addresses for LAUREEN S KNUTESON (PA-C)
601 W 2nd St
Bloomington, IN 474032317
Phone: (812) 334-5081
Type: Location
707, West 2nd Street, Bloomington, Monroe County, Indiana, 47403, United States
BLOOMINGTON, IN 474032209
Phone: (812) 334-5081
Fax: (812) 334-5091
Type: Mailing
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: 2023-04-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20100130000289 | I | Physician Assistant | WI | TBD |
| I20170920003668 | I | Physician Assistant | NM | TBD |
| I20190823000311 | I | Physician Assistant | IN | TBD |
| I20230426000207 | I | Physician Assistant | ND | 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 47403)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | IN | |
| Nurse Practitioner | IN | |
| Internal Medicine | PA | |
| Physician Assistant | IN | |
| Cardiovascular Disease (Cardiology), Interventional Cardiology | IN | |
| Family Practice | IN | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | IN | |
| P O D I A T R Y | IN |
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