Wendi E Konomos, GNP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

R24960 Issued in TX

Practice address

774 Landa St
New Braunfels, TX 78130-6114

Phone

(830) 625-0305

Fax

(830) 625-0298

NPI assigned

Jul 26, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX, LA2 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, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ochsner Clinic LLCGroup PAC ID 8224933619, 2,845 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Christus Ochsner St Patrick Hospital Hospital, Lake Charles, LA, CCN 190027
• Christus Ochsner Lake Area Hospital Hospital, Lake Charles, LA, CCN 190201
• Lake Charles Memorial Hospital Hospital, Lake Charles, LA, CCN 190060

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: wkonomos1678038@direct.ochsner.org
• Direct secure messaging: wkonomos234087@christushealth.direct-ci.net

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.

• Ochsner Clinic LLC

  • General Practice Physician
  • New Orleans, LA
  • NPI 1538151428
  Medicare reassignment Care Compare group NPD
• Christus Trinity Clinic Texas

  • Family Medicine Physician
  • Tyler, TX
  • NPI 1285684225
  Medicare reassignment NPD
• Christus Trinity Clinic Texas

  • Rural Health Clinic/Center
  • Winnsboro, TX
  • NPI 1801673165
  NPD
• Ochsner Clinic LLC

  • Registered Dietitian
  • Covington, LA
  • NPI 1013747039
  NPD
• Ochsner Clinic LLC

  • Internal Medicine Physician
  • Lake Charles, LA
  • NPI 1174095707
  NPD
• Ochsner Clinic LLC

  • Internal Medicine Physician
  • Lake Charles, LA
  • NPI 1417429036
  NPD (past)

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

• Christus Health Southwestern Louisiana

  • Student Health Clinic/Center
  • Lake Charles, LA
  • NPI 1093927105

  Hospital

  Care Compare affiliation
• Christus Health Southwestern Louisiana

  • Student Health Clinic/Center
  • Lake Charles, LA
  • NPI 1205040995

  Hospital

  Care Compare affiliation
• Christus Health Southwestern Louisiana

  • Student Health Clinic/Center
  • Grand Chenier, LA
  • NPI 1407068299

  Hospital

  Care Compare affiliation
• Christus Health Southwestern Louisiana

  • General Acute Care Hospital
  • Lake Charles, LA
  • NPI 1548796378
  Care Compare affiliation
• Christus Health Southwestern Louisiana

  • General Acute Care Hospital
  • Lake Charles, LA
  • NPI 1629076468
  Care Compare affiliation
• Christus Health Southwestern Louisiana

  • Student Health Clinic/Center
  • Lake Charles, LA
  • NPI 1710191473

  Hospital

  Care Compare affiliation
• Southwest Louisiana Hospital Association Inc

  • Gastroenterology Physician
  • Lake Charles, LA
  • NPI 1285351411

  Hospital

  Care Compare affiliation
• Southwest Louisiana Hospital Association Inc

  • Rheumatology Physician
  • Lake Charles, LA
  • NPI 1659424075

  Hospital

  Care Compare affiliation
• Southwest Louisiana Hospital Association Inc

  • General Acute Care Hospital
  • Lake Charles, LA
  • NPI 1972549855
  Care Compare affiliation

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610323200000",
    "number": "1699965533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "774 LANDA ST",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781306114",
            "telephone_number": "210-614-8612",
            "fax_number": "210-615-5596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "774 LANDA ST",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781306114",
            "telephone_number": "830-625-0305",
            "fax_number": "830-625-0298"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "774 Landa St",
            "address_purpose": "LOCATION",
            "city": "New Braunfels",
            "state": "TX",
            "postal_code": "781306114",
            "country_code": "US",
            "telephone_number": "830-625-0305",
            "fax_number": "830-625-0298",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KONOMOS",
        "first_name": "WENDI",
        "middle_name": "E",
        "credential": "GNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-26",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "611930",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "AP115952",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "R24960",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "1G9356",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P02569432",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Terri Renee Kohleffel, PT
• Adrienne M. Koller, MA, LPC
• Komedix
• Komedix Healthcare Inc
• Komedix Medical Associates PA
• Felix Chong Wah Koo, M.D.
• Daniel Korman, PT, DPT
• Rebecca Korver
• Kelly Jo Koss, WHNP
• Karly Kothmann, LPC

• Gerontology Nurse Practitioner in New Braunfels, TX
• Providers in New Braunfels, TX by specialty
• Gerontology Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.