Active NPI
Mark Funk
- Certified Registered Nurse Anesthetist
- Neligh, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 101708
- Practice address
- 52550 848TH Rd
Neligh, NE 68756-2026 - Phone
- (402) 649-1629
- NPI assigned
- Jun 23, 2021
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 11
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.
-
- Emergency Medicine Physician
- Columbus, NE
- NPI 1427152131
NE, Single Specialty
-
- Family Medicine Physician
- Schuyler, NE
- NPI 1780601781
NE, Single Specialty
-
- Medicare Defined Swing Bed Hospital Unit
- Columbus, NE
- NPI 1598869240
-
- Community Based Hospice Care Agency
- Columbus, NE
- NPI 1730283771
-
- General Acute Care Hospital
- Columbus, NE
- NPI 1760589295
-
- Surgery Physician
- Columbus, NE
- NPI 1821592205
-
- Home Health Agency
- Columbus, NE
- NPI 1902893456
-
- Medicare Defined Swing Bed Hospital Unit
- Schuyler, NE
- NPI 1548345028
-
- Medicare Defined Swing Bed Hospital Unit
- David City, NE
- NPI 1588601629
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Columbus Community Hospital Inc
Practice addresses (Care Compare)
4600 38TH St
Columbus, NE 68601-1664
Phone (402) 564-7118
Hospital & facility affiliations
- Columbus Community Hospital, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 65.67 of 100
- Quality
- 95
- Promoting interoperability
- 0
- Improvement activities
- 40
- Cost
- 73.89
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220724000055 | NE | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 6709267677 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 80622 | NE | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Columbus Community Hospital Inc | Single Specialty | Current | Accepting new patients |
| Alegent Health Memorial Hospital, Schuyler | Current | Accepting new patients | |
| Columbus Community Hospital Inc | Single Specialty | Current | Accepting new patients |
| Alegent Health Memorial Hospital Schuyler | Single Specialty | Current | Accepting new patients |
| Butler County Health Care Center | Past | Accepting new patients |
Locations
4600 38th St
Columbus, NE 68601
Phone (402) 562-3333
372 S 9th St
David City, NE 68632
Phone (402) 367-1200
1721 Colfax St
Schuyler, NE 68661
Phone (402) 352-3745
104 W 17th St
Schuyler, NE 68661
Phone (402) 352-2441
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 80622 | NE | |
| Certified Registered Nurse Anesthetist | 367500000X | 101708 | NE | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
52550 848TH Rd
Neligh, NE 68756-2026
Mailing address
320 3Rd St
Columbus, NE 68601-7808
Phone (402) 649-1629
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 1, 2022.
{
"created_epoch": "1624406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654041600000",
"number": "1275102147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 3RD ST",
"city": "COLUMBUS",
"state": "NE",
"postal_code": "686017808",
"telephone_number": "402-649-1629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "52550 848TH RD",
"city": "NELIGH",
"state": "NE",
"postal_code": "687562026",
"telephone_number": "402-649-1629"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUNK",
"first_name": "MARK",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-06-23",
"last_updated": "2022-06-01",
"certification_date": "2022-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NE",
"license": "80622",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NE",
"license": "101708",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Neligh, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2022; 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.