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

Mrs. Andrea E Knapke, PA-C

Individual provider Surgical Physician Assistant · NPI 1417149675

Mrs. Andrea E Knapke, PA-C is a Physician Assistant in Saint Marys, Ohio. Qualified in 2007, 19 years ago. Practices with Dermatologists of Southwestern Ohio, LLC, a 116-clinician group and accepts Medicare assignment. Licensed in Illinois and Ohio.

Years since qualifying
19
Licensed in
IL, OH
In the registry since
2007
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1165 S Knoxville Ave Ste 100
Saint Marys, OH 45885-2622
Phone: (419) 394-3331
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 50.002634 (OH)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 50.002634 (OH)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 085003591 (IL)

Record details

NPI number1417149675
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 13, 2007
Last updated in NPPESFebruary 20, 2023
Certification dateFebruary 15, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Dermatologists Of Southwestern Ohio, Llc — 116 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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