NPIMap

Individual provider Active NPI

Brooke Autumn Konz, MD

  • Surgery Physician
  • Le Mars, IA
National Provider Identifier
1386174332
Registry record updated Jul 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
49932 Issued in IA
Practice address
714 Lincoln St NE
Le Mars, IA 51031-3314
Phone
(712) 546-3492
NPI assigned
Jun 13, 2017
Last updated
Jul 5, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 125070534 IL
Surgery Physician 208600000X 49932 IA Primary

Addresses

Primary practice location

714 Lincoln St NE
Le Mars, IA 51031-3314

Mailing address

714 Lincoln St NE
Le Mars, IA 51031-3314
Phone (712) 546-3492

Other practice location 1

1653 W Congress Pkwy
Chicago, IL 60612-3833
Phone (888) 352-7874

Other names 1

  • Dr. Brooke Autumn Fischer Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220713002984 IA Practitioner - General Surgery 1254601560 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Sanford School of Medicine of University of South Dakota, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Floyd Valley HealthcareGroup PAC ID 2769385475, shared by 5 NPIs, 35 clinicians

Practice addresses (Care Compare)

1101 9TH St SE
Sioux Center, IA 51250-2501
Phone (712) 546-3338

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy71
Hernia repair - groin (open)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux69
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
49932IAMDSurgery Physician
125070534ILMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Associates P.C. Current Accepting new patients
Hegg Memorial Hospital CurrentSince Apr 1, 2023 Accepting new patients
Floyd Valley Healthcare Current Accepting new patients
Floyd Valley Healthcare CurrentSince Aug 22, 2022 Accepting new patients
Floyd Valley Healthcare Current Accepting new patients
Hegg Memorial Hospital Current Accepting new patients
Floyd Valley Healthcare CurrentSince Aug 22, 2022 Accepting new patients
Avera McKennan Current Accepting new patients
Hegg Memorial Hospital CurrentSince Apr 1, 2023 Accepting new patients
Hegg Memorial Hospital Past Accepting new patients

Locations

714 Lincoln St NE
Le Mars, IA 51031
Phone (712) 546-3338

1202 21st Ave
Rock Valley, IA 51247
Phone (712) 476-8000

1101 9th St SE
Sioux Center, IA 51250
Phone (712) 722-1271

Interoperability endpoints

  • Direct secure messaging: brooke.konz@avera.sdhealthlink.net

Organizations & group practices 10

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

Hospital & facility affiliations 25

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

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1497312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656979200000",
    "number": "1386174332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 LINCOLN ST NE",
            "city": "LE MARS",
            "state": "IA",
            "postal_code": "510313314",
            "telephone_number": "712-546-3492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 LINCOLN ST NE",
            "city": "LE MARS",
            "state": "IA",
            "postal_code": "510313314",
            "telephone_number": "712-546-3492"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1653 W Congress Pkwy",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606123833",
            "country_code": "US",
            "telephone_number": "888-352-7874",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KONZ",
        "first_name": "BROOKE",
        "middle_name": "AUTUMN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-13",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "125070534",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IA",
            "license": "49932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BROOKE",
            "last_name": "FISCHER",
            "middle_name": "AUTUMN",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Le Mars, IA

Sources for this page

Verify at the official NPI Registry.