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. She graduated from nursing school in 2019 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Tanana Valley Clinic Llc and 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 accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and 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
Experience	6 Years
Location	1919 Lathrop St, Fairbanks, Alaska
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Theresa Konieczny graduated from nursing school in 2019

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: I20250612003392

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

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Tanana Valley Clinic Llc	5698056901	131

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	Tanana Valley Clinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922559558 PECOS PAC ID: 5698056901 Enrollment ID: O20161228001991

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

Nurse Practitioner Nurses in Fairbanks, AK

Mrs. Kelly Kay Binkowski, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1626 30th Ave, Fairbanks, AK 99701 Phone: 907-479-7701
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Susana Donofry, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 565 University Ave Ste 1, Fairbanks, AK 99709 Phone: 215-704-1238
Mr. Wendell Reginald Taylor Jr., Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1101 Noble St, Fairbanks, AK 99701 Phone: 907-458-2682 Fax: 907-458-2628
Alyce Lynne Weckwerth, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3100 S Cushman St, Fairbanks, AK 99701 Phone: 907-452-6251 Fax: 907-451-6251
Mrs. Shannon Kay Rhoton, MSN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments 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