Phyllis Knickerbocker, CRNA - Nurse Anesthetist, Certified Registered in Joplin, MO

Phyllis Knickerbocker, CRNA is a Nurse Anesthetist, Certified Registered based in Joplin, Missouri. Phyllis Knickerbocker is licensed to practice in Missouri (license number 1999137827) and her current practice location is 2727 Mcclelland Blvd, Joplin, Missouri. She can be reached at her office (for appointments etc.) via phone at (417) 781-2727.

NPI number for Phyllis Knickerbocker is 1528035144 and her current mailing address is Po Box 760, Joplin, Missouri. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1528035144.

Contact Information

Phyllis Knickerbocker, CRNA
2727 Mcclelland Blvd,
Joplin, MO 64804-1626
(417) 781-2727
(316) 652-0340

Map and Direction




Provider's Profile

Full NamePhyllis Knickerbocker
GenderFemale
SpecialityNurse Anesthetist, Certified Registered
Location2727 Mcclelland Blvd, Joplin, Missouri
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1528035144
  • Provider Enumeration Date: 03/02/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Phyllis Knickerbocker such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528035144NPI-NPPES
108602AOtherMOBCBS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 1999137827 (Missouri)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Phyllis Knickerbocker is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Phyllis Knickerbocker, CRNA
Po Box 760,
Joplin, MO 64802-0760

Ph: (417) 624-3040
Phyllis Knickerbocker, CRNA
2727 Mcclelland Blvd,
Joplin, MO 64804-1626

Ph: (417) 781-2727

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Joplin, MO

Mr. Austin Boone Mcclure, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1102 W 32nd St, Joplin, MO 64804
Phone: 417-347-1078    Fax: 417-347-1079
Mrs. Allison Marie Lutz, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1102 W 32nd St, Joplin, MO 64804
Phone: 417-347-1111    
Ms. Alenka Gloria Vale-dominguez, RN, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 1102 W 32nd St, Joplin, MO 64804
Phone: 417-347-1078    Fax: 417-347-1079
Jonathan Eric Drowns, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 1102 W 32nd St, Joplin, MO 64804
Phone: 417-347-1111    
Terry W Miller, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1102 W 32nd St, Joplin, MO 64804
Phone: 417-347-1078    Fax: 417-347-1079
Julie A Burd, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1102 W 32nd St, Joplin, MO 64804
Phone: 417-347-1078    Fax: 417-347-1079
Ashley Nickole Khachi, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 100 Mercy Way, Joplin, MO 64804
Phone: 417-781-2727    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.