GENEVIEVE MARIE KONICKE PA-C
NPI 1710459896
Physician Assistant - Surgical in Austin, TX

Active since December 29, 2018PECOS Enrolled
4900 MUELLER BLVD, AUSTIN, TX 78723(855) 324-0091 Get Directions Write a Review

NPPES record last updated: December 29, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Genevieve Marie Konicke Pa-c NPPES

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

GENEVIEVE MARIE KONICKE PA-C (NPI 1710459896) is an individual surgical provider in Austin, Texas, licensed in Texas (PA12417) and active in the NPI registry since December 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710459896
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameGENEVIEVE MARIE KONICKECredential: PA-C
Location Address4900 MUELLER BLVDAustin, TX 78723-3079
Mailing Address4900 Mueller BlvdAustin, TX 78723-3079
Sole ProprietorNo
Enumeration DateDecember 29, 2018
NPI 1710459896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in TX · PA12417
4900 MUELLER BLVD, Austin, TX 78723

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)

Genevieve Marie Konicke Pa-c 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.

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 (Pediatrics)
4900 MUELLER BLVD
AUSTIN, TX 78723
Pediatrics (Pediatric Cardiology)
4900 MUELLER BLVD
AUSTIN, TX 78723
Nurse Practitioner (Pediatrics)
4900 MUELLER BLVD
AUSTIN, TX 78723
Respiratory Therapist, Registered (Neonatal/Pediatrics)
4900 MUELLER BLVD
AUSTIN, TX 78723
Student in an Organized Health Care Education/Training Program
4900 MUELLER BLVD
AUSTIN, TX 78723
Pediatrics
4900 MUELLER BLVD, SUITE 3S.066C
AUSTIN, TX 78723
Pediatrics
4900 MUELLER BLVD, SUITE 3S.066C
AUSTIN, TX 78723
Pediatrics
4900 MUELLER BLVD, SUITE 3S.066C
AUSTIN, TX 78723

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 Genevieve Konicke's NPI number?

The NPI number for Genevieve Konicke is 1710459896. It was assigned to this individual provider in the NPPES registry on December 29, 2018.

Where is Genevieve Konicke located?

Genevieve Konicke practices at 4900 Mueller Blvd, Austin, TX 78723. The listed phone number is (855) 324-0091.

What is Genevieve Konicke's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Genevieve Konicke enrolled in Medicare?

Yes. Genevieve Konicke is registered in the Medicare PECOS enrollment system.

What insurance does Genevieve Konicke accept?

Health plans from Blue Cross and Blue Shield of Texas and Sendero Health Plans, Local Nonprofit list Genevieve Konicke 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.

When was this NPI record last updated?

The NPPES record for Genevieve Konicke was last updated on December 29, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.