Individual provider Active NPI

Jeffrey Lee Konstanz, PA-C

  • Physician Assistant
  • Platte, SD
National Provider Identifier
1699728733
Registry record updated May 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0514 Issued in SD
Practice address
601 E 7TH St
Platte, SD 57369-2123
Phone
(605) 337-1502
Fax
(605) 337-3360
NPI assigned
May 18, 2006
Last updated
May 28, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0514 SD Primary

Addresses

Primary practice location

601 E 7TH St
Platte, SD 57369-2123

Mailing address

601 E 7TH St
Platte, SD 57369-2123
Phone (605) 337-1502

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
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
I20040329001778 SD Practitioner - Physician Assistant 0547152860 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Platte Community Memorial Hospital IncGroup PAC ID 6507770054, shared by 5 NPIs, 8 clinicians

Practice addresses (Care Compare)

265 E Main St
Corsica, SD 57328-6059
Phone (605) 946-5959

601 E 7TH St
Platte, SD 57369-2123
Phone (605) 337-3364

708 8TH St
Armour, SD 57313-2102
Phone (605) 724-2310

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0514SDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Douglas County Memorial Hospital CurrentSince Feb 1, 2020 Accepting new patients
Avera McKennan CurrentSince Mar 5, 2012 Accepting new patients
Avera McKennan CurrentSince Mar 5, 2012 Accepting new patients
Douglas County Memorial Hospital CurrentSince Feb 1, 2020 Accepting new patients
Platte Community Memorial Hospital Inc CurrentSince Jan 1, 2026 Accepting new patients
Monument Health Network, Inc. CurrentSince Dec 17, 2021 Accepting new patients
Monument Health Network, Inc. CurrentSince Dec 17, 2021 Accepting new patients
Platte Community Memorial Hospital Inc. CurrentSince Jun 22, 2015 Accepting new patients
Platte Community Memorial Hospital, Inc. PastSince Aug 1, 2021 Accepting new patients
Douglas County Memorial Hospital Past Accepting new patients
Carr Chiropractic Clinics PC Past Accepting new patients
Carr Chiropractic Clinics PC Past Accepting new patients

Locations

708 8th St
Armour, SD 57313
Phone (605) 724-2159

101 S Front St
Chamberlain, SD 57325
Phone (605) 234-6584

300 S Byron Blvd
Chamberlain, SD 57325
Phone (605) 234-5511

265 E Main St
Corsica, SD 57328
Phone (605) 946-5411

525 N Foster St
Mitchell, SD 57301
Phone (605) 995-2000

601 E 7th St
Platte, SD 57369
Phone (605) 337-2633

601 E 7th St
Ste 3
Platte, SD 57369
Phone (605) 337-2633

1440 N Main St
Spearfish, SD 57783
Phone (605) 644-4000

301 Main St
Stickney, SD 57375
Phone (605) 732-4508

306 S Johnston St
White Lake, SD 57383
Phone (605) 337-1529

Interoperability endpoints

  • Direct secure messaging: jeff.konstanz@avera.sdhealthlink.net
  • Direct secure messaging: jkonstanz.104073@regionalhealth.sdhealthlink.net

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 29

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

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622160000000",
    "number": "1699728733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 E 7TH ST",
            "city": "PLATTE",
            "state": "SD",
            "postal_code": "573692123",
            "telephone_number": "605-337-1502",
            "fax_number": "605-337-3360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E 7TH ST",
            "city": "PLATTE",
            "state": "SD",
            "postal_code": "573692123",
            "telephone_number": "605-337-1502",
            "fax_number": "605-337-3360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONSTANZ",
        "first_name": "JEFFREY",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2021-05-28",
        "certification_date": "2021-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SD",
            "license": "0514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Platte, SD

Sources for this page

Verify at the official NPI Registry.