Mark Richard Martens, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Delano, MN
NPI 1194921973 · NPPES record last updated Mar 21, 2016
Key facts
- NPI
- 1194921973
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- R162211-5 (MN)
- Practice address
- 310 Greenway Dr
Delano, MN 55328-4571 - Phone
- (763) 229-5441
- NPI assigned
- Jun 27, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 26
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hutchinson Health
Centracare Clinic
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
- Centracare - St. Cloud Hospital
- Hutchinson Health
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160523000750 | MN | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 7315236833 | Reassigns benefits to 8 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R162211-5 | MN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centracare Clinic | Current | Accepting new patients | |
| County of Meeker | Current | Accepting new patients | |
| Healthpartners RC | Current |
Accepting new patients | |
| Centracare Clinic | Current |
Accepting new patients | |
| County of Meeker | Current |
Accepting new patients | |
| Centracare Clinic Southwest LLC | Current |
Accepting new patients | |
| North Metro Anesthesia Services P.a. | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Hutchinson Health | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Hutchinson Health | Current | Accepting new patients | |
| Centracare Clinic | Current |
Accepting new patients | |
| Centracare Clinic Southwest LLC | Current |
Accepting new patients | |
| Healthpartners RC | Current |
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
3701 12th St N
Ste 202
Saint Cloud, MN 56303
Phone (320) 258-3090
1200 6th Ave N
Saint Cloud, MN 56303
Phone (320) 252-3342
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
- mark.martens.p4@direct.tcpain.nextgenshare.com
- mmartens491087@direct.centracare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | R162211-5 | MN | Yes |
Addresses
Primary practice location
310 Greenway Dr
Delano, MN 55328-4571
Mailing address
310 Greenway Dr
Delano, MN 55328-4571
Phone (763) 229-5441
Other providers in Delano, MN
- Daryl Maclean
- Mark James Madden
- Magnolia Circle Wellness
- Susan Joan Magraw
- Jackie Sue Marcotte
- Kelly May
- Christopher E McLean
- Medwallet Inc
- Kaj Earl Meister
- Meyer Chiropractic Health Clinic
All providers in Delano, MN · Certified Registered Nurse Anesthetist in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 21, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.