Mark Mincinski

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

4606 N College Dr
Cheyenne, WY 82009-5456

Phone

(307) 414-8394

NPI assigned

May 4, 2016

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WY

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Caring Edge Op LLCGroup PAC ID 6406114131, 36 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Caring Edge Op LLC

  • Clinic/Center
  • Eagle, ID
  • NPI 1700399359

  WY

  Medicare reassignment Care Compare group
• Legacy Primary Care PLLC

  • Adult Medicine Physician
  • Grand Forks, ND
  • NPI 1265277115
  NPD
• Big Stone Therapies Montague LLC

  • Physical Therapy Clinic/Center
  • Montague, MI
  • NPI 1073021093
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1462320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734652800000",
    "number": "1134575574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19580 SCOUT LN",
            "city": "SAINT ONGE",
            "state": "SD",
            "postal_code": "577797913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4606 N COLLEGE DR",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820095456",
            "telephone_number": "307-414-8394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINCINSKI",
        "first_name": "MARK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-04",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "633",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Jean Milligan, MS LPC LAT
• Lori Millin, CST/CFA
• Bobbi Mills
• Bruce Milmont, MD
• Mason Milohov
• Mind Spa, PC
• Mindfully Reconnect
• Mindstead Integrative Psychiatry, LLC
• Miracles Inc
• Teresa Mischke

• All providers in Cheyenne, WY
• Occupational Therapist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2024; 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.

Verify at the official NPI Registry.