Nicole Marie Konoff, FNP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

0029186 Issued in OH

Practice address

6006 Frances CT
Sylvania, OH 43560-4517

Phone

(419) 340-7697

NPI assigned

Jun 3, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH, MI2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Promedica Central PhysiciansGroup PAC ID 2365348190, 785 clinicians

Aspirus Ironwood Hospital and Clinics IncGroup PAC ID 9032013198, 165 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Promedica Toledo Hospital Hospital, Toledo, OH, CCN 360068
• Fostoria Community Hospital Hospital, Fostoria, OH, CCN 361318
• Promedica Monroe Regional Hospital Hospital, Monroe, MI, CCN 230099
• Bay Park Community Hospital Hospital, Oregon, OH, CCN 360259
• Promedica Charles and Virginia Hickman Hospital Hospital, Adrian, MI, CCN 230005

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Promedica Central Physicians

  • Family Medicine Physician
  • Toledo, OH
  • NPI 1043270150

  MI

  Medicare reassignment Care Compare group NPD
• Aspirus Ironwood Hospital & Clinics, Inc.

  • Family Medicine Physician
  • Ironwood, MI
  • NPI 1992704753

  Primary Care

  Medicare reassignment Care Compare group NPD
• Riverwood Emergency Services Inc.

  • Emergency Medicine Physician
  • Perrysburg, OH
  • NPI 1104888536
  Medicare reassignment NPD
• Aspirus Ironwood Hospital & Clinics, Inc.

  • Critical Access Hospital
  • Ironwood, MI
  • NPI 1649297342
  Medicare reassignment NPD
• Promedica Central Physicians

  • Durable Medical Equipment & Medical Supplies
  • Toledo, OH
  • NPI 1669068482
  NPD
• Aspirus Ironwood Hospital & Clinics, Inc.

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Ironwood, MI
  • NPI 1609743590
  NPD

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

• Bay Park Community Hospital

  • General Acute Care Hospital
  • Oregon, OH
  • NPI 1598765539
  Care Compare affiliation
• Fostoria Hospital Association

  • Critical Access Hospital
  • Fostoria, OH
  • NPI 1275533226
  Care Compare affiliation
• The Toledo Hospital

  • General Acute Care Hospital
  • Toledo, OH
  • NPI 1407854771
  Care Compare affiliation
• Toledo Hospital

  • Ambulance
  • Toledo, OH
  • NPI 1427147339

  Hospital

  Care Compare affiliation
• Emma L. Bixby Medical Center

  • General Acute Care Hospital
  • Adrian, MI
  • NPI 1972564730
  Care Compare affiliation
• Mercy Memorial Hospital Corporatio

  • General Acute Care Hospital
  • Monroe, MI
  • NPI 1811097223
  Care Compare affiliation
• Mercy Memorial Hospital Corporation

  • Specialist
  • Monroe, MI
  • NPI 1376997551

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1622678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627948800000",
    "number": "1376119800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6006 FRANCES CT",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435604517",
            "telephone_number": "419-340-7697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6006 FRANCES CT",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435604517",
            "telephone_number": "419-340-7697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONOFF",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-03",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "OH",
            "license": "0029186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• KMW Modifications
• Madielyn Knaggs
• Kneading Time Holisctic Therapy Center
• Kristy Kohlman, OTR/L
• Wesley Holmes Konesky, M. ED, ED. S
• Sarah Elizabeth Koralewski, LPC
• Haley Kovach, PA-C
• Kenneth Kowalski
• Amy Koziarski, LISW
• Mary M Kozy, CNS

• Primary Care Nurse Practitioner in Sylvania, OH
• Providers in Sylvania, OH by specialty
• Primary Care Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.