MARGARET ANNE KONWINSKI NP
NPI 1376026641
Nurse Practitioner in Wyoming, MI

Active since September 12, 2018PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
5950 METRO WAY SW, WYOMING, MI 49519(616) 252-8100 Get Directions Write a Review

NPPES record last updated: November 20, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 20, 2024, Nov 4, 2024, Feb 25, 2021 and 1 more (4 updates tracked since 2018).

About Margaret Anne Konwinski Np NPPES

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

MARGARET ANNE KONWINSKI NP (NPI 1376026641) is an individual nurse practitioner in Wyoming, Michigan, licensed in Michigan (4704286309) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS, is affiliated with Mercy Health Saint Mary's, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1376026641
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMARGARET ANNE KONWINSKICredential: NP
Location Address5950 METRO WAY SWWyoming, MI 49519-9514
Mailing Address5950 Metro Way SwWyoming, MI 49519-9514 · (616) 252-8100
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateSeptember 12, 2018
Last NPPES UpdateNovember 20, 20244 updates tracked since enumeration
NPPES CertifiedNovember 20, 2024
NPI 1376026641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in MI · 4704286309
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
5950 METRO WAY SW, Wyoming, MI 49519

Secondary Practice Locations 2

Location 14055 Cascade Rd SEGrand Rapids, MI 49546-2149 · Phone (616) 252-8100
Location 25900 Byron Center Ave SWWyoming, MI 49519-9606 · Phone (616) 252-8100

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 and accepts Medicare assignment

Margaret Anne Konwinski Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7618229220
PECOS Enrollment IDI20181010000370
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
30 services27 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
25 services25 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
23 services22 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
18 services17 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mercy Health Saint Mary's

Acute Care Hospitals · Grand Rapids, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230059
Location200 Jefferson Avenue SEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

University Of Michigan Health - West

Acute Care Hospitals · Wyoming, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230236
Location5900 Byron Center Avenue, SWWyoming, MI 49519 · Kent County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49519 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.54
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
5950 METRO WAY SW
WYOMING, MI 49519
Radiology (Radiation Oncology)
5950 METRO WAY SW
WYOMING, MI 49519
Radiology (Radiation Oncology)
5950 METRO WAY SW
WYOMING, MI 49519
Nurse Practitioner
5950 METRO WAY SW
WYOMING, MI 49519
Nurse Practitioner (Adult Health)
5950 METRO WAY SW
WYOMING, MI 49519
Nurse Practitioner (Family)
5950 METRO WAY SW
WYOMING, MI 49519
Physician Assistant
5950 METRO WAY SW
WYOMING, MI 49519
Physician Assistant
5950 METRO WAY SW
WYOMING, MI 49519

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Margaret Konwinski's NPI number?

The NPI number for Margaret Konwinski is 1376026641. It was assigned to this individual provider in the NPPES registry on September 12, 2018.

Where is Margaret Konwinski located?

Margaret Konwinski practices at 5950 Metro Way SW, Wyoming, MI 49519. The listed phone number is (616) 252-8100.

What is Margaret Konwinski's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Margaret Konwinski enrolled in Medicare?

Yes. Margaret Konwinski is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Margaret Konwinski accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company, Priority Health and UnitedHealthcare list Margaret Konwinski as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Margaret Konwinski affiliated with any hospitals?

According to CMS data, Margaret Konwinski is affiliated with Mercy Health Saint Mary's and University Of Michigan Health - West.

When was this NPI record last updated?

The NPPES record for Margaret Konwinski was last updated on November 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.