Individual provider Active NPI

Megan E Konopacke

  • Family Nurse Practitioner
  • Draper, UT
National Provider Identifier
1255075891
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
12769250-4405 Issued in UT
Practice address
121 W Election Rd Ste 121
Draper, UT 84020-7720
Phone
(385) 382-1555
NPI assigned
Apr 20, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 12769250-4405 UT Primary

Addresses

Primary practice location

121 W Election Rd Ste 121
Draper, UT 84020-7720

Mailing address

1405 E Vintry LN
Murray, UT 84121-1918
Phone (385) 382-1555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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
I20250120000352 UT Practitioner - Nurse Practitioner 7517496680 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Georgetown University School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Levo LLCGroup PAC ID 2264961390, 10 clinicians

Practice addresses (Care Compare)

498 N 900
Suite 200
Kaysville, UT 84037-4153
Phone (385) 382-1555

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Levo LLC Family Medicine CurrentSince Dec 1, 2024 Accepting new patients

Locations

121 W Election Rd
Ste 140
Draper, UT 84020
Phone (385) 382-1555

121 W Election Rd
Ste 110
Draper, UT 84020
Phone (801) 738-4653

498 N Kays Dr
Ste 200
Kaysville, UT 84037
Phone (385) 382-1555

1375 E 800 N
Ste 202
Orem, UT 84097
Phone (801) 228-0617

Networks

  • UT PPO D-SNP
  • UT PPO

Interoperability endpoints

  • Direct secure messaging: megank@am-ut.direct.office.nextgen.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1650412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1255075891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 E VINTRY LN",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841211918",
            "telephone_number": "385-382-1555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 W ELECTION RD STE 121",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840207720",
            "telephone_number": "385-382-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONOPACKE",
        "first_name": "MEGAN",
        "middle_name": "E",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-20",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "12769250-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Draper, UT

Sources for this page

Verify at the official NPI Registry.