Individual provider Active NPI

Mark Funk

  • Certified Registered Nurse Anesthetist
  • Neligh, NE
National Provider Identifier
1275102147
Registry record updated Jun 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
101708 Issued in NE
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.

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 86 clinicians

Practice addresses (Care Compare)

4600 38TH St
Columbus, NE 68601-1664
Phone (402) 564-7118

Hospital & facility affiliations

  • Columbus Community Hospital, Inc Hospital, Columbus, NE, CCN 280111

Merit-based Incentive Payment System (MIPS)

Final score
65.67 of 100Reported as group
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 IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
80622NEMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Columbus Community Hospital Inc Single Specialty CurrentSince Jul 18, 2022 Accepting new patients
Alegent Health Memorial Hospital, Schuyler CurrentSince Jun 18, 2025 Accepting new patients
Columbus Community Hospital Inc Single Specialty CurrentSince Jul 18, 2022 Accepting new patients
Alegent Health Memorial Hospital Schuyler Single Specialty CurrentSince Jun 18, 2025 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)CodeLicenseStatePrimary
Registered Nurse 163W00000X 80622 NE
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X 101708 NE Primary

Addresses

NPPES NPI Registry

Primary 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.

Verify at the official NPI Registry.