DESTINY KNOCKER (FNP) – Family Nurse Practitioner, NPI 1982269742
Family Nurse Practitioner
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
3,366 NURSE PRACTITIONER in OR
Provider Addresses for DESTINY KNOCKER (FNP)
16180 SE SUNNYSIDE RD STE 102
HAPPY VALLEY, OR 970156302
Phone: (503) 582-4900
Type: Location
1245 NW 4TH ST STE 201
REDMOND, OR 977561680
Phone: (541) 323-4545
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 30 Open Payments records for all available years, with a total value of $391.
Total Amount is formed as General ($391) + Research ($0) + Ownership ($0) = $391.
Last reported payment date: 2024-11-08 • Largest payer in this snapshot: ABBVIE INC. ($240).
Total Amount
$391
General + Research + Ownership
Payments
30
Total payment records
General Amount
$391
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $240 |
| Amgen Inc. | $69 |
| ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) | $48 |
| NESTLE HEALTHCARE NUTRITION INC. | $33 |
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: 2019-09-16
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190916001935 | I | Nurse Practitioner | OR | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 335 | 223 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 262 | 171 | $0 |
| 90688 | Influenza vaccine, quadrivalent, 0.5 ml dosage | 18 | 18 | $0 |
| G0008 | Administration of influenza virus vaccine | 18 | 18 | $0 |
| 81002 | Urinalysis, manual test | 16 | 15 | $0 |
Insurance plans in this area (ZIP 97015)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | OR |
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