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STACEY LEE KONZAK PA C
NPI 1962486969
Physician Assistant in Bismarck, ND

Active since December 02, 2005PECOS Enrolled
60.94/100
CMS Quality Rating
2900 E BROADWAY AVE, BISMARCK, ND 58501(701) 221-9997 Get Directions Write a Review

NPPES record last updated: September 18, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stacey Lee Konzak Pa C NPPES

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

STACEY LEE KONZAK PA C (NPI 1962486969) is an individual physician assistant in Bismarck, North Dakota, licensed in North Dakota (PAC0348) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962486969
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSTACEY LEE KONZAKCredential: PA C
Location Address2900 E BROADWAY AVEBismarck, ND 58501-5112
Mailing Address5713 80th Ave NeDevils Lake, ND 58301-9657 · (701) 303-0263 · Fax (701) 395-4456
Phone(701) 221-9997
Sole ProprietorNo
Enumeration DateDecember 2, 2005
Last NPPES UpdateSeptember 18, 2014
✔ NPI 1962486969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in ND · PAC0348✔ Licensed in SD · 0537
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2900 E BROADWAY AVE, Bismarck, ND 58501
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Other Names 1

Former Name (1)Stacey Lee Berg Pa-c

Other Identifiers 4

Medicaid6825030SD
Medicare UPINP98951
Medicaid71237ND
Medicare ID-Type UnspecifiedS41495

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Medica.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)

Stacey Lee Konzak 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58501 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
$85.71 typical visit price
range $55.75 – $168.12
Typical copayment $21.42 (range $13.93 – $42.03)
Most-billed visit code 99203
Established Patient
$69.48 typical visit price
range $18.11 – $137.65
Typical copayment $17.37 (range $4.52 – $34.41)
Most-billed visit code 99213
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.

60.94/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality50.03
Improvement Activities40

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 Stacey Konzak's NPI number?

The NPI number for Stacey Konzak is 1962486969. It was assigned to this individual provider in the NPPES registry on December 2, 2005. The provider is also known as Stacey Lee Berg Pa-C.

Where is Stacey Konzak located?

Stacey Konzak practices at 2900 E Broadway Ave, Bismarck, ND 58501. The listed phone number is (701) 221-9997.

What is Stacey Konzak's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Stacey Konzak enrolled in Medicare?

Yes. Stacey Konzak is registered in the Medicare PECOS enrollment system.

What insurance does Stacey Konzak accept?

Health plans from Blue Cross Blue Shield of North Dakota and Medica list Stacey Konzak 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 Stacey Konzak was last updated on September 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.