Individual provider Active NPI

Amanda Michelle Konz, ARNP

  • Family Nurse Practitioner
  • State Center, IA
National Provider Identifier
1639441835
Registry record updated Nov 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A119903 Issued in IA
Practice address
503 3Rd Ave SW
State Center, IA 50247-7719
Phone
(641) 483-2141
NPI assigned
Feb 2, 2012
Last updated
Nov 14, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2017

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 A119903 IA Primary

Addresses

Primary practice location

503 3Rd Ave SW
State Center, IA 50247-7719

Mailing address

503 3Rd Ave SW
State Center, IA 50247-7719
Phone (641) 483-2141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20120328000914 IA Practitioner - Nurse Practitioner 7315107380 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unitypoint Health - MarshalltownGroup PAC ID 0941587307, 24 clinicians

Practice addresses (Care Compare)

51 Unitypoint Way
Suite 100
Marshalltown, IA 50158-4750
Phone (641) 844-6259

55 Unitypoint Way
Marshalltown, IA 50158-4749
Phone (641) 754-5145

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A119903IAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Salahuddin Syed MD PC Current Accepting new patients
St Luke's Methodist Hospital Current Accepting new patients
Unitypoint Health - Marshalltown CurrentSince Aug 20, 2017 Accepting new patients
Unitypoint Health - Marshalltown CurrentSince Aug 20, 2017 Accepting new patients
Allen Memorial Hospital Corporation Past Accepting new patients

Locations

205 N Hartwig St
Conrad, IA 50621
Phone (614) 366-2123

3 S 4th Ave
Marshalltown, IA 50158
Phone (641) 754-5145

303 Nicholas Dr
Ste 100
Marshalltown, IA 50158
Phone (641) 753-2752

405 E Main St
Marshalltown, IA 50158
Phone (641) 753-2752

55 Unitypoint Way
Marshalltown, IA 50158
Phone (641) 754-5145

Interoperability endpoints

  • Direct secure messaging: akonz645229@direct.unitypoint.org

Organizations & group practices 5

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 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": "1328140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510617600000",
    "number": "1639441835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 3RD AVE SW",
            "city": "STATE CENTER",
            "state": "IA",
            "postal_code": "502477719",
            "telephone_number": "641-483-2141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 3RD AVE SW",
            "city": "STATE CENTER",
            "state": "IA",
            "postal_code": "502477719",
            "telephone_number": "641-483-2141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONZ",
        "first_name": "AMANDA",
        "middle_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-02",
        "last_updated": "2017-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A119903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in State Center, IA

Sources for this page

Verify at the official NPI Registry.