JACKLYN A KNOLL (PA-C) – Medical Physician Assistant, NPI 1699087411

JACKLYN A KNOLL (PA-C) is a healthcare provider. based in Wausau, Wisconsin. specializing in Medical Physician Assistant. They hold the professional credentials PA-C. They hold a License No. 2622-23 (WI). The NPI Number for JACKLYN A KNOLL (PA-C) is 1699087411

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
JACKLYN A KNOLL (PA-C)
NPI
1699087411
Phone
(715) 847-2611
Address
500 WIND RIDGE DR.
Enumeration Date
9 July 2010
Last Update Date
4 January 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2010 (16 years ago)
PAC ID
1355538927
Group Practice PAC ID
1052223625
Professional Enrollment ID
I20101208000548
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

Provider Addresses for JACKLYN A KNOLL (PA-C)

  • 500 WIND RIDGE DR.

    WAUSAU, WI 544014173

    Phone: (715) 847-2611

    Fax: (715) 847-2612

    Type: Mailing

  • 500 WIND RIDGE DR

    WAUSAU, WI 544014173

    Phone: (715) 847-2611

    Type: Location

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.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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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 54401)

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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: 1052223625View full group profile
NameSpecialtyState
Nurse PractitionerWI
O B S T E T R I C S/ G Y N E C O L O G YWI
Nurse PractitionerIL
Nurse PractitionerWI
-NC
-WI
N E U R O L O G YIL
-PA
-WI
-WI

Reviews

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Frequently asked questions

What NPI should I save for JACKLYN A KNOLL (PA-C)?
Save NPI 1699087411 if you need a stable reference for JACKLYN A KNOLL (PA-C).
Is JACKLYN A KNOLL (PA-C)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does JACKLYN A KNOLL (PA-C) list a primary specialty?
If you are matching referrals, note Medical Physician Assistant for JACKLYN A KNOLL (PA-C). Clinical services aligned with this taxonomy classification.
Where does public data place JACKLYN A KNOLL (PA-C)?
The snapshot lists Wausau, Wisconsin for JACKLYN A KNOLL (PA-C); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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