Michelle Konstantinidis, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

4027026 Issued in KY

Practice address

11 McLeod LN
Madisonville, KY 42431-3650

Phone

(270) 245-2413

NPI assigned

Dec 29, 2006

Last updated

Aug 30, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KY, TX2 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, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kayenta Alternative Rural HospitalGroup PAC ID 3678558129, 60 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Kayenta Alternative Rural Hospital Hospital, Kayenta, AZ, CCN 030195

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Kayenta Alternative Rural Hospital

  • General Acute Care Hospital
  • Kayenta, AZ
  • NPI 1174692529

  TX

  Medicare reassignment Care Compare group NPD
• Pathway Mental Health

  • Psychiatric/Mental Health Nurse Practitioner
  • Madisonville, KY
  • NPI 1982378436
  Medicare reassignment NPD
• Kayenta Alternative Rural Hospital

  dba Kayenta Pharmacy

  • Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
  • Kayenta, AZ
  • NPI 1285750125
  NPD
• Kayenta Alternative Rural Hospital

  dba Inscription House Health Center

  • General Acute Care Hospital
  • Tonalea, AZ
  • NPI 1740359108
  NPD
• Kayenta Alternative Rural Hospital

  dba Dennehotso Health Center

  • General Acute Care Hospital
  • Dennehotso, AZ
  • NPI 1821167297
  NPD

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724976000000",
    "number": "1851457238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 MCLEOD LN",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "424313650",
            "telephone_number": "270-245-2413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 MCLEOD LN",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "424313650",
            "telephone_number": "270-245-2413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONSTANTINIDIS",
        "first_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-29",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "4027026",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "686590",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Southard Kirkwood, MS,CCC-SLP
• William Klompus, MD
• Brianne Nykole Knight
• Ronnie Leif Knudsen, PHARMD
• Tara Orlena Tapp Kolodey, COTA/L
• Donald S. Korn, MD
• Natalia I Kovtun, MD
• Kroger Limited Partnership I (Kroger Pharmacy)
• Ashwani Kumar, MD
• Barbara Ann Kunkle, DC

• Psychiatric/Mental Health Nurse Practitioner in Madisonville, KY
• Providers in Madisonville, KY by specialty
• Psychiatric/Mental Health Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.