Mark W Huber, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

112182 Issued in NE

Practice address

655 Montgomery St Ste 810
San Francisco, CA 94111-2677

Phone

(844) 847-8216

Fax

(415) 520-9150

NPI assigned

Feb 21, 2017

Last updated

Dec 19, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE, GA, TN, FL, OR, CA, KS, VA, MA, PA, IA, AL, NY13 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 13

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: markhuberhazlo@docvilladirect.com

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.

• Virta Medical P.C.

  • Internal Medicine Physician
  • San Francisco, CA
  • NPI 1093225138

  AL, FL, GA, IA, KS, MA, NE, NY, OR, PA, TN, VA

  Medicare reassignment
• Oneworld Community Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Omaha, NE
  • NPI 1952330649
  Medicare reassignment
• Hazlo Health

  • Family Nurse Practitioner
  • Omaha, NE
  • NPI 1063140259
  Authorized official Same address or phone
• Oneworld Community Health Centers Inc

  • Federally Qualified Health Center (FQHC)
  • Plattsmouth, NE
  • NPI 1144491564
  NPD
• Healthtap Medical Group, P.C.

  • General Practice Physician
  • Portola Valley, CA
  • NPI 1518330539
  NPD (past)
• Hazlo PC

  • Family Nurse Practitioner
  • Omaha, NE
  • NPI 1326916347
  NPD (past)
• Ready Responders Pennsylvania LLC

  dba myLaurel Medical Group PA

  • General Practice Physician
  • Lansdale, PA
  • NPI 1194341214
  NPD (past)

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

{
    "created_epoch": "1487635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702944000000",
    "number": "1275072415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10706 GROVER ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681243654",
            "telephone_number": "402-290-8147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 MONTGOMERY ST STE 810",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941112677",
            "telephone_number": "844-847-8216",
            "fax_number": "415-520-9150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10706 Grover St",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681243654",
            "country_code": "US",
            "telephone_number": "402-290-8147",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUBER",
        "first_name": "MARK",
        "middle_name": "W",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-21",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NE",
            "license": "112182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jakara Lynne Hubbard, LCPC
• Verkeeya Hubbard
• Jennifer Denise Hubbart
• Kenneth Hubbell, MD
• Lauren Huber Shirley
• Richard R. Huber, LVN
• Sophia Huber
• Megan Justine Huchko, MD
• Huckleberry Youth Programs, Inc
• Dynasty Huckleby

• Nurse Practitioner in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.