Active NPI
Mark E Schulz, CRNA
- Certified Registered Nurse Anesthetist
- Watertown, SD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- CRNA0510
- Practice address
- 401 9TH Ave NW
Watertown, SD 57201-1548 - Phone
- (605) 882-7000
- Fax
- (605) 882-7636
- NPI assigned
- Jun 30, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | CRNA0510 | SD | Primary |
Addresses
Primary practice location
401 9TH Ave NW
Watertown, SD 57201-1548
Mailing address
401 9TH Ave NW
Watertown, SD 57201-1548
Phone (605) 882-7000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD, MN, ND
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
401 9TH Ave NW
Watertown, SD 57201-1548
Phone (605) 882-7000
Hospital & facility affiliations
- Prairie Lakes Healthcare System, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 80 of 100
- Quality
- 60
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.64 of 100
- Quality
- 86.84
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.29
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CRNA0510 | SD | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake Region Healthcare Corporation | Current | Accepting new patients | |
| Lake Region Healthcare Corporation | Current | Accepting new patients | |
| CCM Health | Current | Accepting new patients | |
| TTB Services Prof LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Lake Region Healthcare Corporation | Current | Accepting new patients | |
| Cssa, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Lake Region Healthcare Corporation | Current | Accepting new patients | |
| Prairie Lakes Health Care System Inc | Current | Accepting new patients |
Locations
2600 Jefferson St
Ste 100
Alexandria, MN 56308
Phone (320) 335-2167
1411 Highway 79 E
Elbow Lake, MN 56531
Phone (218) 685-7300
649 State St NW
Evansville, MN 56326
Phone (218) 948-2040
712 S Cascade St
Fergus Falls, MN 56537
824 N 11th St
Montevideo, MN 56265
Phone (320) 269-8877
400 10th St E
Waconia, MN 55387
350 23rd Ave E
Ste 201
West Fargo, ND 58078
Phone (701) 356-4770
401 9th Ave NW
Watertown, SD 57201
Phone (605) 886-9317
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/e35355ac-dfca-48b9-9dd9-0b7c408c2a66/
- mschulz482416@direct.centracare.com
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Rural Acute Care Hospital
- Watertown, SD
- NPI 1720166002
-
- Certified Registered Nurse Anesthetist
- Sioux Falls, SD
- NPI 1962743492
MN, Nurse Anesthetist, Certified Registered
-
- Critical Access Hospital
- Montevideo, MN
- NPI 1720086028
-
- Certified Registered Nurse Anesthetist
- Fargo, ND
- NPI 1942830856
Nurse Anesthetist, Certified Registered
-
- Critical Access Hospital
- Elbow Lake, MN
- NPI 1407838329
-
- Family Medicine Physician
- Watertown, SD
- NPI 1396525143
-
- General Acute Care Hospital
- Fergus Falls, MN
- NPI 1093713372
-
- Chiropractor
- Fergus Falls, MN
- NPI 1265148480
-
- Durable Medical Equipment & Medical Supplies
- Fergus Falls, MN
- NPI 1942191119
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691539200000",
"number": "1083643308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 9TH AVE NW",
"city": "WATERTOWN",
"state": "SD",
"postal_code": "572011548",
"telephone_number": "605-882-7000",
"fax_number": "605-882-7636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 9TH AVE NW",
"city": "WATERTOWN",
"state": "SD",
"postal_code": "572011548",
"telephone_number": "605-882-7000",
"fax_number": "605-882-7636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHULZ",
"first_name": "MARK",
"middle_name": "E",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-30",
"last_updated": "2023-08-09",
"certification_date": "2023-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "SD",
"license": "CRNA0510",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Watertown, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.