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

Dr. Pamela Rose Knickerbocker, DO

Individual provider Family Medicine Physician · NPI 1164561353

Dr. Pamela Rose Knickerbocker, DO is a Family Practice in Avon Park, Florida. Graduated from Oklahoma State University College of Osteopathic Medicine in 2005, 21 years ago. Practices with Adventist Health System-Sunbelt Inc, a 110-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California, Florida and Oklahoma.

Years since qualifying
21
Trained at
Oklahoma State University College of Osteopathic Medicine
Licensed in
CA, FL, OK
In the registry since
2007
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1006 W Pleasant St
Avon Park, FL 33825-2966
Phone: (863) 453-3121
Fax: (863) 452-2823
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4215 Front St, Shasta Lake, CA 96019-9430 — (530) 246-5896

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence OS19486 (FL)
Family Medicine Physician Taxonomy 207Q00000X · Licence A2012777 (CA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 4409 (OK)

Record details

NPI number1164561353
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedFebruary 5, 2007
Last updated in NPPESFebruary 16, 2023
Certification dateFebruary 16, 2023
Mailing address1035 Placer St, Redding, CA 96001-1125

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2005 (21 years in practice)
Group practice Adventist Health System-Sunbelt Inc — 110 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Avon Park