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Deactivated NPI 1316003247 Deactivated / Inactive NPI Female Practitioner

Corlis Jean Knapper , LPN PHYSICAN EXTENDE

Licensed Practical Nurse • Willmar, MN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Corlis Knapper has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 28, 2006
NPI Deactivation Date September 29, 2020
Total Practice Duration ~14 Years of Practice (2006 – 2020)

Professional Overview & Biography Verified Profile Summary

Corlis Knapper, LPN PHYSICAN EXTENDE was a registered Licensed Practical Nurse practicing in Willmar, MN. Throughout an active medical career spanning 14 years, Corlis Knapper provided care at the practice location at 101 WILLMAR AVE SW until profile deactivation on 2020-09-29.

Practice Location & Contact Primary Location

Practice Address

101 Willmar Ave Sw
Affiliated Community Medical Centers

Willmar, MN 56201

Telephone 3202315000
Fax 3202315067
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Willmar, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
4 Specialists

Practicing in Willmar, MN (881 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License MN L0102018

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Ryan Hebrink , PT

Physical Therapist

NPI 1003077439

Physical Therapist

Amber Johnson , WHNP

Nurse Practitioner

NPI 1003459629

Women's Health Nurse Practitioner

Frances Antkowiak , APNP

Nurse Practitioner

NPI 1003837196

Advanced Practice Nurse Prescriber

Dr. Patricia Daquila , MD

Internal Medicine

NPI 1003863473

Doctor of Medicine (M.D.)

NPI 1013087030

Doctor of Audiology

NPI 1013983337

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated September 29, 2020

Record deactivated on September 29, 2020

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 101 WILLMAR AVE SW, AFFILIATED COMMUNITY MEDICAL CENTERS, WILLMAR, MN 56201 (Tel: 3202315000)

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Updated Business Mailing Address July 08, 2007

Registered at 101 WILLMAR AVE SW, ACMC, WILLMAR, MN 56201 (Tel: 3202315000)

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Provider Name / Credentials Updated July 08, 2007

Recorded as CORLIS KNAPPER, LPN PHYSICAN EXTENDE

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Licensed Practical Nurse (License #L0102018 in MN)

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Initial NPI Registration & Enumeration December 28, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1316003247
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 28, 2006
Last Update: July 08, 2007
Deactivation Date: September 29, 2020

Mailing Address

101 Willmar Ave Sw, Acmc

Willmar, MN 56201

Phone: 3202315000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.