DR. JAY B KNAAK (M.D.) – Family Medicine Physician, NPI 1902819626

DR. JAY B KNAAK (M.D.) is a healthcare provider. based in International falls, Minnesota. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 36810 (MN). The NPI Number for DR. JAY B KNAAK (M.D.) is 1902819626

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
DR. JAY B KNAAK (M.D.)
NPI
1902819626
Phone
(218) 283-5503
Address
1400 HWY 71
Enumeration Date
14 August 2006
Last Update Date
6 February 2018

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
2182834481
Graduation Year
1990 (36 years ago)
PAC ID
0345208666
Group Practice PAC ID
1951365998
Professional Enrollment ID
I20070308000329
Address ID
MN566492154IN1400X71XX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

3,076 FAMILY PRACTICE in MN

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Provider Addresses for DR. JAY B KNAAK (M.D.)

  • Rainy Lake Medical Center, 1400, Voyageur Highway, International Falls, Koochiching County, Minnesota, 56649, United States

    INTERNATIONAL FALLS, MN 56649

    Phone: (218) 283-5503

    Mailing address matches the actual address.

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: 2007-03-08

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
I20070308000329IFamily PracticeMNTBD

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 56649)

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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: 1951365998View full group profile
NameSpecialtyState
-MN
-MN
Nurse PractitionerMN
Nurse PractitionerMN
Emergency Medicine, Family PracticeMS
Physician AssistantMN
General PracticeMI
Nurse PractitionerMN
Nurse PractitionerIA
Nurse PractitionerMN

Reviews

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No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How do I look up DR. JAY B KNAAK (M.D.) by NPI?
Use NPI 1902819626 when you need to reference DR. JAY B KNAAK (M.D.) in forms, claims, or directories.
Does this profile mean DR. JAY B KNAAK (M.D.) is currently active?
Yes — DR. JAY B KNAAK (M.D.) appears active in the national provider directory.
Does DR. JAY B KNAAK (M.D.) list a primary specialty?
If you are matching referrals, note Family Medicine Physician for DR. JAY B KNAAK (M.D.). Clinical services aligned with this taxonomy classification.
Does DR. JAY B KNAAK (M.D.) practice in Minnesota?
You will see International Falls, Minnesota on file for DR. JAY B KNAAK (M.D.) alongside any extra practice locations.
How can I contact DR. JAY B KNAAK (M.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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