NPIMap

Individual provider Active NPI

Mark Richard Martens, CRNA

  • Certified Registered Nurse Anesthetist
  • Delano, MN
National Provider Identifier
1194921973
Registry record updated Mar 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R162211-5 Issued in MN
Practice address
310 Greenway Dr
Delano, MN 55328-4571
Phone
(763) 229-5441
NPI assigned
Jun 27, 2007
Last updated
Mar 21, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X R162211-5 MN Primary

Addresses

Primary practice location

310 Greenway Dr
Delano, MN 55328-4571

Mailing address

310 Greenway Dr
Delano, MN 55328-4571
Phone (763) 229-5441

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160523000750 MN Practitioner - Certified Registered Nurse Anesthetist (Crna) 7315236833 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hutchinson HealthGroup PAC ID 0345330072, 145 clinicians
Centracare ClinicGroup PAC ID 2466363395, 800 clinicians

Practice addresses (Care Compare)

1095 Hwy 15 S
Hutchinson, MN 55350-5000
Phone (320) 234-5000

3701 12TH St N
Suite 202
Saint Cloud, MN 56303-2253
Phone (320) 258-3090

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
R162211-5MNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Centracare Clinic Current Accepting new patients
Hutchinson Health Current Accepting new patients
County of Meeker CurrentSince Nov 3, 2018 Accepting new patients
Centracare Clinic Southwest LLC CurrentSince May 1, 2024 Accepting new patients
Centracare Clinic CurrentSince May 1, 2024 Accepting new patients
Centracare Clinic CurrentSince May 1, 2024 Accepting new patients
North Metro Anesthesia Services P.a. Nurse Anesthetist, Certified Registered CurrentSince Nov 6, 2014 Accepting new patients
County of Meeker Current Accepting new patients
Healthpartners RC CurrentSince May 29, 2024 Accepting new patients
Healthpartners RC CurrentSince May 29, 2024 Accepting new patients
Hutchinson Health Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2016 Accepting new patients
Centracare Clinic Southwest LLC CurrentSince May 1, 2024 Accepting new patients

Locations

1095 Highway 15 S
Hutchinson, MN 55350
Phone (320) 234-5000

612 S Sibley Ave
Litchfield, MN 55355
Phone (320) 693-3242

600 Peterson Pkwy
New London, MN 56273
Phone (320) 354-2222

100 Healthy Way
Olivia, MN 56277
Phone (320) 523-1261

1200 6th Ave N
Saint Cloud, MN 56303
Phone (320) 252-3342

3701 12th St N
Ste 202
Saint Cloud, MN 56303
Phone (320) 258-3090

400 10th St E
Waconia, MN 55387

101 Willmar Ave SW
Willmar, MN 56201
Phone (320) 231-5079

5200 Fairview Blvd
Wyoming, MN 55092
Phone (651) 464-4611

Interoperability endpoints

  • Direct secure messaging: mark.martens.p4@direct.tcpain.nextgenshare.com
  • Direct secure messaging: mmartens491087@direct.centracare.com

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458518400000",
    "number": "1194921973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 GREENWAY DR",
            "city": "DELANO",
            "state": "MN",
            "postal_code": "553284571",
            "telephone_number": "763-229-5441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 GREENWAY DR",
            "city": "DELANO",
            "state": "MN",
            "postal_code": "553284571",
            "telephone_number": "763-229-5441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTENS",
        "first_name": "MARK",
        "middle_name": "RICHARD",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-27",
        "last_updated": "2016-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MN",
            "license": "R162211-5",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delano, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2016; 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.