ANNA LYNN KONIGSMARK (PA-C) – Medical Physician Assistant, NPI 1245592799

ANNA LYNN KONIGSMARK (PA-C) is a healthcare provider. based in Glastonbury, Connecticut. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA5718 (MA). The NPI Number for ANNA LYNN KONIGSMARK (PA-C) is 1245592799

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
ANNA LYNN KONIGSMARK (PA-C)
NPI
1245592799
Phone
(860) 430-1246
Address
2928 MAIN ST STE 101
Enumeration Date
11 June 2012
Last Update Date
26 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2012 (14 years ago)
PAC ID
0446408827
Group Practice PAC ID
2062487291
Professional Enrollment ID
I20160718001919
Address ID
MA021272245So409XXBROA300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness85
Years active:13State licenses:1Digital endpointsOther names

892 PHYSICIAN ASSISTANT in NM

Provider Addresses for ANNA LYNN KONIGSMARK (PA-C)

  • 2928 MAIN ST STE 101

    GLASTONBURY, CT 060331007

    Phone: (860) 430-1246

    Fax: (203) 905-6824

    Type: Mailing

  • 2474 Indian Wells Rd

    Alamogordo, NM 883103845

    Phone: (575) 437-0159

    Type: Location

  • 1210 BOYLSTON ST

    CHESTNUT HILL, MA 02467

    Phone: (617) 608-3215

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $27.

Total Amount is formed as General ($27) + Research ($0) + Ownership ($0) = $27.

Last reported payment date: 2023-08-10 • Largest payer in this snapshot: Boston Scientific Corporation ($27).

Total Amount

$27

General + Research + Ownership

Payments

1

Total payment records

General Amount

$27

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-10

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-07-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120910000004IPhysician AssistantGATBD
I20160718001919IPhysician AssistantMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99204New patient office or other outpatient visit, 45-59 minutes3737$0
99214Established patient office or other outpatient visit, 30-39 minutes3533$0
87635Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen2524$0
99203New patient office or other outpatient visit, 30-44 minutes2020$0
87636Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19) and influenza virus types a and b1717$0
View full utilization report →

Insurance plans in this area (ZIP 06033)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2062487291View full group profile
NameSpecialtyState
Family PracticeMA
-MA
Internal MedicineMA
Cardiovascular Disease (Cardiology)MA
Nurse PractitionerMA
O P H T H A L M O L O G YMA
P S Y C H I A T R YNY
O P T O M E T R YMA
Gastroenterology, Internal MedicineMA
Nurse PractitionerMA

Reviews

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Frequently asked questions

Does ANNA LYNN KONIGSMARK (PA-C) have a public NPI I can cite?
Public records show ANNA LYNN KONIGSMARK (PA-C) under NPI 1245592799.
Is ANNA LYNN KONIGSMARK (PA-C)'s NPI status active today?
Active status means ANNA LYNN KONIGSMARK (PA-C)'s NPI record is not deactivated in the public file.
Which specialty label fits ANNA LYNN KONIGSMARK (PA-C)?
NPPES ties ANNA LYNN KONIGSMARK (PA-C) to Medical Physician Assistant in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to ANNA LYNN KONIGSMARK (PA-C)?
ANNA LYNN KONIGSMARK (PA-C) is associated with Glastonbury, Connecticut in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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