Ashley Harrison Konstantinides, PA-C
Physician Assistant, Medical in Minneapolis, MN. Individual provider (NPI-1).
NPI number1649600438
StatusActive
Last updated in NPPESNov 18, 2016
Details
- NPI
- 1649600438
- Entity type
- Individual (NPI-1)
- Name
- Ashley Harrison Konstantinides
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 15, 2013
- Last updated
- Nov 18, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | 2004 | MN | Yes |
Practice location
4040 Coon Rapids Blvd NwSuite 120
Minneapolis, MN 55433-4567
Phone 920-209-1698
Mailing address
4040 Coon Rapids Blvd NwSuite 120
Minneapolis, MN 55433-4567
Phone 920-209-1698
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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