Individual provider Active NPI

Jill Marian Konfrst, ARNP

  • Nurse Practitioner
  • Pella, IA
National Provider Identifier
1801893250
Registry record updated Sep 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
A076744 Issued in IA
Practice address
412 E Oskaloosa St
Pella, IA 50219-2208
Phone
(641) 780-0743
Fax
(641) 204-0218
NPI assigned
Jun 30, 2005
Last updated
Sep 18, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X A076744 IA Primary

Addresses

Primary practice location

412 E Oskaloosa St
Pella, IA 50219-2208

Mailing address

PO Box 43
Minneapolis, MN 55440-0043
Phone (612) 262-1166

Other practice location 1

8170 Old Carriage Court
Ste 100
Shakopee, MN 55379-3164
Phone (952) 428-3600

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
I20080429000543 IA Practitioner - Nurse Practitioner 7618055898 Reassigns benefits to 12 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
A076744IAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Methodist Hospital Current Accepting new patients
Madison County Memorial Hospital Current Accepting new patients
Decatur County Hospital CurrentSince Jun 16, 2022 Accepting new patients
Madison County Memorial Hospital CurrentSince Nov 1, 2015 Accepting new patients
Monroe County Hospital Current Accepting new patients
Monroe County Hospital Nurse Practitioner Current Accepting new patients
Van Buren County Hospital Nurse Practitioner CurrentSince Sep 10, 2021 Accepting new patients
Keokuk County Health Center CurrentSince Aug 1, 2019 Accepting new patients
Madison County Memorial Hospital CurrentSince Nov 1, 2015 Accepting new patients
Davis County Hospital CurrentSince Oct 6, 2014 Accepting new patients
Van Buren County Hospital CurrentSince Aug 11, 2025 Accepting new patients
Keokuk County Health Center CurrentSince Aug 1, 2019 Accepting new patients
Van Buren County Hospital CurrentSince Sep 10, 2021 Accepting new patients
Clarinda Regional Health Center CurrentSince Feb 12, 2019 Accepting new patients
Davis County Hospital CurrentSince Oct 6, 2014 Accepting new patients
Madison County Memorial Hospital Current Accepting new patients
Rural Iowa Specialty Physicians Consortium Inc Past Accepting new patients
Grinnell Regional Medical Center PastSince Aug 1, 2020 Accepting new patients
Van Hemert Chiropractic Center, P.C. Nurse Practitioner PastSince May 1, 2004 Accepting new patients
Hy Vee Iowa Health LC Nurse Practitioner Past Accepting new patients

Locations

6580 165th St
Albia, IA 52531
Phone (641) 932-1756

509 N Madison St
Bloomfield, IA 52537
Phone (641) 664-2145

220 Essie Davison Dr
Clarinda, IA 51632
Phone (712) 542-8330

304 Franklin St
Keosauqua, IA 52565
Phone (319) 293-3171

1405 NW Church St
Leon, IA 50144
Phone (641) 446-2340

23019 Highway 149
Sigourney, IA 52591
Phone (641) 622-2720

300 W Hutchings St
Winterset, IA 50273
Phone (515) 223-4368

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/823d67d6-97c5-40a2-b084-56d06cb82099/
  • FHIR API: https://fhir-usa.unify.chbase.com/org/madico-8e3b1615
  • Direct secure messaging: jkonfrst431339@direct.unitypoint.org

Organizations & group practices 22

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 22

NPI Registry JSON

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568764800000",
    "number": "1801893250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 43",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554400043",
            "telephone_number": "612-262-1166",
            "fax_number": "612-262-4258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 E OSKALOOSA ST",
            "city": "PELLA",
            "state": "IA",
            "postal_code": "502192208",
            "telephone_number": "641-780-0743",
            "fax_number": "641-204-0218"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8170 Old Carriage Court",
            "address_2": "Ste 100",
            "address_purpose": "LOCATION",
            "city": "Shakopee",
            "state": "MN",
            "postal_code": "553793164",
            "country_code": "US",
            "telephone_number": "952-428-3600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KONFRST",
        "first_name": "JILL",
        "middle_name": "MARIAN",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-30",
        "last_updated": "2019-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "A076744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pella, IA

Sources for this page

Verify at the official NPI Registry.