Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Knackstedt Medical Group Inc

Organization Medical Physician Assistant · NPI 1841651809

Knackstedt Medical Group Inc is a Medical Physician Assistant in Los Ranchos, New Mexico. Registered with an NPI since 2016.

In the registry since
2016
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

7218 4th St NW
Los Ranchos, NM 87107-6624
Phone: (505) 730-5603
Fax: (505) 554-2313
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X
Medical Physician Assistant Taxonomy 363AM0700X

Record details

NPI number1841651809
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shirley Knackstedt — Co-Owner · (505) 730-5603
NPI enumeratedMarch 17, 2016
Last updated in NPPESMarch 17, 2016
Mailing address7218 4th St Nw, Los Ranchos, NM 87107-6624