SHANNON KONIECZKI RN, MSN, CPNP
NPI 1184991713
Nurse Practitioner - Pediatrics in Detroit, MI

Active since November 28, 2011PECOS Enrolled
3901 BEAUBIEN ST., CHILDREN'S HOSPITAL OF MI, DETROIT, MI 48201(313) 993-2950(313) 745-5237 Get Directions Write a Review

NPPES record last updated: March 27, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Shannon Konieczki Rn, Msn, Cpnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANNON KONIECZKI RN, MSN, CPNP (NPI 1184991713) is an individual pediatrics provider in Detroit, Michigan, licensed in Michigan (4704261113) and active in the NPI registry since November 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184991713
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameSHANNON KONIECZKICredential: RN, MSN, CPNP
Location Address3901 BEAUBIEN ST., CHILDREN'S HOSPITAL OF MIDetroit, MI 48201-2119
Mailing Address4201 St. Antione Uhc 5d, Univerdity PediatriciansDetroit, MI 48201-2119 · (313) 966-5051 · Fax (313) 966-0665
Fax(313) 745-5237
Sole ProprietorNo
Enumeration DateNovember 28, 2011
Last NPPES UpdateMarch 27, 2013
NPI 1184991713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License Licensed in MI · 4704261113
3901 BEAUBIEN ST., Detroit, MI 48201

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Shannon Konieczki Rn, Msn, Cpnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 48201 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $90.76
  • Minimum New Patient Price $58.04
  • Maximum New Patient Price $177.36
  • Average New Patient Copayment $22.69
  • Minimum New Patient Copayment $14.51
  • Maximum New Patient Copayment $44.34

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $102.35
  • Minimum Established Patient Price $18.32
  • Maximum Established Patient Price $143.49
  • Average Established Patient Copayment $25.58
  • Minimum Established Patient Copayment $4.58
  • Maximum Established Patient Copayment $35.87

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
3901 BEAUBIEN ST., CHILDREN'S HOSPITAL OF MI
DETROIT, MI 48201
Anesthesiology (Pediatric Anesthesiology)
3901 BEAUBIEN ST.
DETROIT, MI 48201

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1184991713, enumerated as an "individual" on November 28, 2011.

The provider is located at 3901 BEAUBIEN ST. CHILDREN'S HOSPITAL OF MI DETROIT, MI 48201 and the phone number is (313) 993-2950.

Nurse Practitioner with taxonomy code 363LP0200X and a focus in Pediatrics.

The provider might be accepting Accepts: Priority Health. Please consult your insurance carrier or call the provider to verify.