Jon P Konzen, DO

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

37138 Issued in WI

Practice address

3506 Oakwood Mall Dr Ste a
Eau Claire, WI 54701-2639

Phone

(715) 831-0811

Fax

(715) 831-0802

NPI assigned

Aug 31, 2006

Last updated

May 29, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Neurology

Education

Midwestern University, Chicago College of Osteopathic Med, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mayo Clinic Health System Eau Claire Hospital Hospital, Eau Claire, WI, CCN 520070
• Oakleaf Surgical Hospital Hospital, Altoona, WI, CCN 520196

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Chippewa Valley Neurosciences LLC

  • Neurology Physician
  • Eau Claire, WI
  • NPI 1306987771
  Medicare reassignment NPD Authorized official
• Chippewa Valley Neuromonitoring, LLC

  • Neurology Physician
  • Eau Claire, WI
  • NPI 1326441841
  NPD (past) Authorized official

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

• Mayo Clinic Health System-Northwest Wisconsin Region, Inc.

  dba Mayo Clinic Health System in Eau Claire

  • General Acute Care Hospital
  • Eau Claire, WI
  • NPI 1629027578
  Care Compare affiliation
• Oak Leaf Surgical Hospital LLC

  • Special Hospital
  • Altoona, WI
  • NPI 1669463832
  Care Compare affiliation

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1609988310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3506 OAKWOOD MALL DR STE A",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547012639",
            "telephone_number": "715-831-0811",
            "fax_number": "715-831-0802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3506 OAKWOOD MALL DR STE A",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547012639",
            "telephone_number": "715-831-0811",
            "fax_number": "715-831-0802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONZEN",
        "first_name": "JON",
        "middle_name": "P",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WI",
            "license": "37138",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30067800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ann Marie Kondrad, PH.D., BCBA, LBA
• Travis W Koniar, MA
• Kendra Ann Konkel
• Britany M Konsela, PTA
• Nicholas Konwinski
• Rebekah Konzen
• Kevin Paul Kooiker, MD
• Britney Gail Kopp, LCSW
• Jordan Koranda
• Jessica Ann Korger, CNM

• Neurology Physician in Eau Claire, WI
• Providers in Eau Claire, WI by specialty
• Neurology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; 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.