Theresa Konieczny, MSN, APRN, FNP-C in Fairbanks, AK

Theresa Konieczny, MSN, APRN, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Fairbanks, Alaska. Her current practice location is 1919 Lathrop St, Fairbanks, Alaska. You can reach out to her office (for appointments etc.) via phone at (907) 459-3570.

Theresa Konieczny is licensed to practice in Alaska (license number 237063) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1720615958.

Contact Information

	Theresa Konieczny, MSN, APRN, FNP-C
	1919 Lathrop St, Fairbanks, AK 99701-5937
	(907) 459-3570
	(907) 459-3510

Map and Direction

Provider's Profile

Full Name	Theresa Konieczny
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1919 Lathrop St, Fairbanks, Alaska
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720615958
Provider Enumeration Date: 03/26/2020
Last Update Date: 08/09/2025

Medicare PECOS Information:

PECOS PAC ID: 8628485554
Enrollment ID: I20210322000525

Medical Identifiers

Medical identifiers for Theresa Konieczny such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720615958	NPI	-	NPPES
1755919	Medicaid	AK
F12190476	Other		AMERICAN ACADEMY OF NURSE PRACTITIONERS CERTIFICATION BOARD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	APRN11005954 (Florida)	Secondary
363LF0000X	Nurse Practitioner - Family	237063 (Alaska)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Theresa Konieczny allows following entities to bill medicare on her behalf.

Entity Name	Np Health Of Fl Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790393874 PECOS PAC ID: 2365867165 Enrollment ID: O20200810002687

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Theresa Konieczny is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Theresa Konieczny, MSN, APRN, FNP-C Po Box 73720, Fairbanks, AK 99707-3720 Ph: (352) 255-5586	Theresa Konieczny, MSN, APRN, FNP-C 1919 Lathrop St, Fairbanks, AK 99701-5937 Ph: (907) 459-3570

Reviews and Comments

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Mrs. Shannon Kay Rhoton, MSN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1919 Lathrop St, Suite 217, Fairbanks, AK 99701 Phone: 907-456-8191 Fax: 907-456-8192

Theresa Konieczny, MSN, APRN, FNP-C - Medicare Nurse Practitioner in Fairbanks, AK