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

Individual provider Family Nurse Practitioner · NPI 1366092769

Carly Knudsen, FNP-C is a Nurse Practitioner in Shelby Township, Michigan. Qualified in 2019, 7 years ago. Practices with Primary Medicine PC, a 7-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
7
Licensed in
MI
In the registry since
2019
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

50505 Schoenherr Rd Ste 340
Shelby Township, MI 48315-3140
Phone: (586) 731-8400
Fax: (586) 731-8406
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 4704317815 (MI)

Record details

NPI number1366092769
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorYes
NPI enumeratedSeptember 17, 2019
Last updated in NPPESJune 24, 2020
Certification dateJune 24, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Primary Medicine Pc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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