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

Cody Knisley, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1407696172

Cody Knisley, PMHNP-BC is a Nurse Practitioner in Concord, North Carolina. Qualified in 2020, 6 years ago. Practices with Eventus Wholehealth PLLC, a 299-clinician group, works from 2 locations and offers telehealth. Licensed in Minnesota and North Carolina.

Years since qualifying
6
Licensed in
MN, NC
In the registry since
2024
Specialties on file
2
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

101 Cabarrus Ave E Ste 200
Concord, NC 28025-3781
Phone: (813) 836-1421
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2179 4th St Ste 2b, White Bear Lake, MN 55110-3041 — (651) 705-7872

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 5020378 (NC)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 11985 (MN)

Record details

NPI number1407696172
Entity typeIndividual (Type 1)
GenderMale
Credentials PMHNP-BC
Sole proprietorNo
NPI enumeratedMay 29, 2024
Last updated in NPPESApril 26, 2026
Certification dateApril 26, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Eventus Wholehealth Pllc — 299 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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