SHANNA LYNN KONZ (CNP) – Nurse Practitioner, NPI 1811299266
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for SHANNA LYNN KONZ (CNP)
121 Washington Ave N Fl 2
Minneapolis, MN 554012503
Phone: (888) 791-8994
Type: Location
400 Renaissance Ctr Ste 2600
Detroit, MI 482431599
Phone: (888) 731-8994
Type: Location
699 Walnut St Ste 4
Des Moines, IA 503093949
Phone: (888) 731-8994
Type: Location
112 Maverick Ct
Granbury, TX 760491381
Phone: (888) 731-8994
Type: Location
2004 Ford Pkwy
Saint Paul, MN 551161931
Phone: (888) 731-8994
Type: Location
3636 S Geyer Rd Ste 100
Saint Louis, MO 631271237
Phone: (888) 731-8994
Type: Location
4254 W Orchid Ln
Chandler, AZ 852267246
Phone: (888) 791-8994
Type: Location
421 8TH ST S
BROOKINGS, SD 570064907
Phone: (605) 521-5116
Type: Mailing
999 18th St Ste 3000
Denver, CO 802022449
Phone: (888) 731-8994
Type: Location
950 W Bannock St Ste 1000
Boise, ID 837026139
Phone: (888) 731-8994
Type: Location
PO BOX 5074
SIOUX FALLS, SD 571175074
Phone:
Type: Mailing
1500 W 22ND ST
STE 401
SIOUX FALLS, SD 571057702
Phone: (605) 328-4600
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2011-01-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
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 |
|---|---|---|---|---|
| I20110118000828 | I | Nurse Practitioner | SD | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 55401)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | SD | |
| P S Y C H I A T R Y | SD | |
| General Surgery | SD | |
| General Surgery | SD | |
| P S Y C H I A T R Y | NE | |
| P S Y C H I A T R Y | SD | |
| - | SD | |
| Qualified Audiologist | SD | |
| Hand Surgery, Orthopedic Surgery | SD | |
| Nurse Practitioner | SD |
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