MRS. AMELIE P. MCKNEELY (PA-C) – Surgical Physician Assistant, NPI 1003984105

MRS. AMELIE P. MCKNEELY (PA-C) is a healthcare provider. based in Dallas, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA11133 (TX). The NPI Number for MRS. AMELIE P. MCKNEELY (PA-C) is 1003984105

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
MRS. AMELIE P. MCKNEELY (PA-C)
NPI
1003984105
Phone
(972) 566-7000
Address
11970 N Central Expy
Enumeration Date
30 November 2006
Last Update Date
25 April 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9725666000
Graduation Year
2006 (20 years ago)
PAC ID
7719089291
Group Practice PAC ID
3072895788
Professional Enrollment ID
I20170822001885
Address ID
TX752302514DA7777XLNXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

8,497 PHYSICIAN ASSISTANT in TX

Provider Addresses for MRS. AMELIE P. MCKNEELY (PA-C)

  • 11970 N Central Expy

    Dallas, TX 752433768

    Phone: (972) 566-7000

    Type: Location

  • 7777 FOREST LN

    DALLAS, TX 752302571

    Phone:

    Type: Mailing

  • Independence Drive, Southwood, Homewood, Jefferson County, Alabama, United States

    HOMEWOOD, AL 352095603

    Phone: (205) 930-0920

    Fax: (205) 445-0115

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $167.

Total Amount is formed as General ($167) + Research ($0) + Ownership ($0) = $167.

Last reported payment date: 2024-08-07 • Largest payer in this snapshot: PROCEPT BioRobotics Corporation ($128).

Total Amount

$167

General + Research + Ownership

Payments

3

Total payment records

General Amount

$167

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-07

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2017-08-22

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
I20170822001885IPhysician AssistantTXTBD

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 75243)

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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: 3072895788View full group profile
NameSpecialtyState
Nurse PractitionerTX
Physician AssistantTX
Nurse PractitionerTX
Internal MedicineGA
Nurse PractitionerTX
General SurgeryTX
General SurgeryTX
Family PracticeTX
O B S T E T R I C S/ G Y N E C O L O G YTX
Physician AssistantTX

Reviews

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Frequently asked questions

Does MRS. AMELIE P. MCKNEELY (PA-C) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MRS. AMELIE P. MCKNEELY (PA-C) uses 1003984105.
Does the file indicate MRS. AMELIE P. MCKNEELY (PA-C) is practicing under active NPI?
Directory data currently reports MRS. AMELIE P. MCKNEELY (PA-C) as active.
What is MRS. AMELIE P. MCKNEELY (PA-C)'s specialty?
The listing groups MRS. AMELIE P. MCKNEELY (PA-C) with Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
Does MRS. AMELIE P. MCKNEELY (PA-C) list a practice location?
Patients near Dallas, Texas may find MRS. AMELIE P. MCKNEELY (PA-C) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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