Individual provider Active NPI

Mary Kathryn Konrad Chestang, CRNP

  • Acute Care Nurse Practitioner
  • Birmingham, AL
National Provider Identifier
1205463338
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1-158663 Issued in AL
Practice address
800 Saint Vincents Dr Ste 600
Birmingham, AL 35205-1630
Phone
(205) 933-9258
NPI assigned
Mar 26, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 1-158663 AL Primary

Addresses

Primary practice location

800 Saint Vincents Dr Ste 600
Birmingham, AL 35205-1630

Mailing address

800 Saint Vincents Dr Ste 600
Birmingham, AL 35205-1630
Phone (205) 933-9258

Other names 1

  • Mary Kathryn Konrad Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200519002776 AL Practitioner - Nurse Practitioner 1456782838 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
STV Pulmonary Group LLCGroup PAC ID 1355616400, 26 clinicians

Practice addresses (Care Compare)

2660 10TH Ave S
Suite 528
Birmingham, AL 35205-1625
Phone (205) 933-9258

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.27 of 100Reported as group
Quality
100
Promoting interoperability
99
Improvement activities
40
Cost
80.35

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Medicine Associates LLC CurrentSince Apr 1, 2024 Accepting new patients
STV Pulmonary Group LLC CurrentSince Mar 2, 2022 Accepting new patients
University of Alabama Health Services Foundation, PC. CurrentSince May 1, 2020 Accepting new patients

Locations

619 19th St S
Birmingham, AL 35249

619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405

1802 6th Ave S
Birmingham, AL 35233
Phone (205) 934-5105

2660 10th Ave S
Ste 528
Birmingham, AL 35205
Phone (205) 933-9258

810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456

800 Saint Vincents Dr
Ste 600
Birmingham, AL 35205
Phone (205) 271-1600

7191 Cahaba Valley Rd
Ste 200
Hoover, AL 35242
Phone (204) 408-9787

7063 Veterans Pkwy
Pell City, AL 35125
Phone (205) 338-3301

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: marykathryn.konrad.p1@direct.birminghampulm.nextgenshare.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1585180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1205463338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 SAINT VINCENTS DR STE 600",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352051630",
            "telephone_number": "205-933-9258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 SAINT VINCENTS DR STE 600",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352051630",
            "telephone_number": "205-933-9258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHESTANG",
        "first_name": "MARY KATHRYN",
        "middle_name": "KONRAD",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-26",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AL",
            "license": "1-158663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY KATHRYN",
            "last_name": "KONRAD",
            "credential": "CRNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.