THERESA KONIECZNY (MSN, APRN, FNP-C) – Family Nurse Practitioner, NPI 1720615958
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
24,500 NURSE PRACTITIONER in FL
Provider Addresses for THERESA KONIECZNY (MSN, APRN, FNP-C)
5546 TWIN PALMS RD
FRUITLAND PARK, FL 347316047
Phone: (352) 255-5586
Type: Location
PO BOX 73720
FAIRBANKS, AK 997073720
Phone: (352) 255-5586
Type: Mailing
1919 LATHROP ST
FAIRBANKS, AK 997015937
Phone: (907) 459-3570
Fax: (907) 459-3510
Type: Location
8877 SE 165TH MULBERRY LN
THE VILLAGES, FL 321625887
Phone: (352) 674-1750
Fax: (352) 674-8950
Type: Location
8877 SE 165th Mulberry Ln
The Villages, FL 321625887
Phone: (352) 674-1750
Fax: (352) 674-8950
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $933.
Total Amount is formed as General ($933) + Research ($0) + Ownership ($0) = $933.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Averitas Pharma Inc. ($256).
Total Amount
$933
General + Research + Ownership
Payments
9
Total payment records
General Amount
$933
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Averitas Pharma Inc. | $256 |
| Xeris Pharmaceuticals, Inc. | $175 |
| Amgen Inc. | $120 |
| Radius Health, Inc. | $115 |
| Medtronic, Inc. | $109 |
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: 2025-06-12
PECOS data refreshed: 2026-06-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210322000525 | I | Nurse Practitioner | FL | TBD |
| I20250612003392 | I | Nurse Practitioner | AK | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 34 | 17 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 18 | 13 | $0 |
Insurance plans in this area (ZIP 34731)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | LA | |
| Certified Registered Nurse Anesthetist (Crna) | AK | |
| A N E S T H E S I O L O G Y | MD | |
| P S Y C H I A T R Y | WA | |
| H O S P I T A L I S T | CA | |
| Emergency Medicine | AK | |
| U R O L O G Y | AK | |
| Family Practice | AK | |
| - | AK | |
| P S Y C H I A T R Y | HI |
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