Physician Compare National (NPI:1801893250)

HEALTHCARE PROVIDER: JILL MARIAN KONFRST ARNP

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1801893250
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7618055898
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080429000543
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	KONFRST
	Individual professional last name
Provider First Name	JILL
	Individual professional first name
Provider Middle Name	MARION
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	2001
	Individual professional's medical school graduation year
Primary Specialty	NURSE PRACTITIONER
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	DOCTORSNOW WALK IN CARE LC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	7012018401
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	3
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	640 S 50TH ST
	Group Practice or individual's line 1 address
Line 2 Street Address	UNIT 1100
	Group Practice or individual's line 2 address
City	WEST DES MOINES
	Group Practice or individual's city
State	IA
	Group Practice or individual's state
Zip Code	502656993
	Group Practice or individual's zip code (9 digits when available)
Phone Number	5152701000
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	161327
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	DAVIS COUNTY HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	161326
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	MADISON COUNTY MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	161341
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	LUCAS COUNTY HEALTH CENTER
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	161310
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	ADAIR COUNTY MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y