JOSHUA TRAVIS KNUDSEN (P.A) – Physician Assistant, NPI 1245525567

JOSHUA TRAVIS KNUDSEN (P.A) is a healthcare provider. based in Tacoma, Washington. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A. The NPI Number for JOSHUA TRAVIS KNUDSEN (P.A) is 1245525567

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
JOSHUA TRAVIS KNUDSEN (P.A)
NPI
1245525567
Phone
(253) 968-2252
Address
Madigan Army Medical Ctr
Enumeration Date
15 June 2011
Last Update Date
5 December 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3257541500519
Graduation Year
2011 (15 years ago)
PAC ID
5395978480
Group Practice PAC ID
6507757812
Professional Enrollment ID
I20200407000974
Address ID
TX795677439WI7571X153X400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience33
Completeness75
Years active:14State licenses:0Digital endpointsOther names

4,282 PHYSICIAN ASSISTANT in WA

Provider Addresses for JOSHUA TRAVIS KNUDSEN (P.A)

  • Madigan Army Medical Ctr

    9040 Reid Street, ATTN: MCHJ-CLQ-C

    Tacoma, WA 984311100

    Phone: (253) 968-2252

    Fax: (253) 968-3278

    Type: Location

  • 3551 ROGER BROOKE DR

    FORT SAM HOUSTON, TX 782344504

    Phone: (910) 496-6536

    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: 2020-04-07

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
I20200407000974IPhysician 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99284Emergency department visit with moderate level of medical decision making4140$0
99283Emergency department visit with low level of medical decision making1414$0
99285Emergency department visit with high level of medical decision making1414$0
View full utilization report →

Insurance plans in this area (ZIP 98431)

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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: 6507757812View full group profile
NameSpecialtyState
Physician AssistantWA
N E U R O L O G YTX
Physician AssistantTX
Nurse PractitionerCA
Physician AssistantTX
Nurse PractitionerTX
Nurse PractitionerTX
-TX

Reviews

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Frequently asked questions

What NPI should I save for JOSHUA TRAVIS KNUDSEN (P.A)?
Save NPI 1245525567 if you need a stable reference for JOSHUA TRAVIS KNUDSEN (P.A).
Is JOSHUA TRAVIS KNUDSEN (P.A)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does JOSHUA TRAVIS KNUDSEN (P.A) work in?
You can think of JOSHUA TRAVIS KNUDSEN (P.A) as practicing within Physician Assistant. Clinical services aligned with this taxonomy classification.
Where does public data place JOSHUA TRAVIS KNUDSEN (P.A)?
The snapshot lists Tacoma, Washington for JOSHUA TRAVIS KNUDSEN (P.A); download NPPES for the complete set.
What if Tacoma, Washington seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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