Maryanne Hartzell, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

26205 Issued in NE

Practice address

110 N 29TH St
Suite 301
Norfolk, NE 68701-4424

Phone

(402) 844-8284

NPI assigned

May 3, 2006

Last updated

Aug 21, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Maryanne Skavdahl Former name

Medicare fee-for-service enrollment

Enrolled in NE

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Cardiovascular Disease (Cardiology)

Education

Duke University School of Medicine, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Faith Regional Physician Services LLCGroup PAC ID 5193786168, 194 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Faith Health Hospital, Norfolk, NE, CCN 280125
• West Holt Memorial Hospital Hospital, Atkinson, NE, CCN 281343
• Providence Medical Center Hospital, Wayne, NE, CCN 281345
• Avera Creighton Hospital Hospital, Creighton, NE, CCN 281331
• Boone County Health Center Hospital, Albion, NE, CCN 281334

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Faith Regional Health Services

  dba Faith Health

  • Rehabilitation Hospital Unit
  • Norfolk, NE
  • NPI 1013012442

  Corporate Director

  CMS ownership
• Faith Regional Health Services

  dba Faith Health Hospice

  • Community Based Hospice Care Agency
  • Norfolk, NE
  • NPI 1265536395

  Corporate Director

  CMS ownership
• Faith Regional Health Services

  dba Faith Health

  • General Acute Care Hospital
  • Norfolk, NE
  • NPI 1285676544

  Corporate Director

  CMS ownership
• Faith Regional Health Services

  dba Faith Health Home Health

  • Home Health Agency
  • Norfolk, NE
  • NPI 1841395126

  Corporate Director

  CMS ownership

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.

• Faith Regional Physician Services, LLC

  • Family Medicine Physician
  • Norfolk, NE
  • NPI 1265489157

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Avera St Anthonys Hospital

  • Critical Access Hospital
  • O'Neill, NE
  • NPI 1891738936
  Medicare reassignment NPD
• Providence Medical Center

  • Critical Access Hospital
  • Wayne, NE
  • NPI 1801867494
  Medicare reassignment NPD
• Sacred Heart Health Services

  dba Avera Creighton Hospital

  • Critical Access Hospital
  • Creighton, NE
  • NPI 1225332471
  Medicare reassignment NPD
• Avera St Anthonys Hospital

  dba Avera Medical Group Spencer

  • Rural Health Clinic/Center
  • Spencer, NE
  • NPI 1629344692
  NPD
• Faith Regional Physician Services, LLC

  • Anesthesiology Physician
  • Norfolk, NE
  • NPI 1275074577
  NPD
• Providence Medical Center

  dba Providence Medical Center Clinic

  • Primary Care Clinic/Center
  • Wayne, NE
  • NPI 1699556647
  NPD
• Sacred Heart Health Services

  • General Practice Physician
  • Yankton, SD
  • NPI 1205703659
  NPD

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

• Boone County Health Center

  • Critical Access Hospital
  • Albion, NE
  • NPI 1679508816
  Care Compare affiliation
• Faith Regional Health Services

  dba Faith Health

  • General Acute Care Hospital
  • Norfolk, NE
  • NPI 1285676544
  Care Compare affiliation
• Providence Medical Center

  • Critical Access Hospital
  • Wayne, NE
  • NPI 1801867494
  Care Compare affiliation
• Sacred Heart Health Services

  dba Avera Creighton Clinic

  • Family Medicine Physician
  • Creighton, NE
  • NPI 1083918171

  Hospital

  Care Compare affiliation
• Sacred Heart Health Services

  dba Avera Creighton Hospital

  • Critical Access Hospital
  • Creighton, NE
  • NPI 1225332471
  Care Compare affiliation
• West Holt Memorial Hospital

  • Critical Access Hospital
  • Atkinson, NE
  • NPI 1295785442
  Care Compare affiliation

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313884800000",
    "number": "1346208964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1508 ELDORADO RD",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687013035",
            "telephone_number": "402-640-9562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 N 29TH ST",
            "address_2": "SUITE 301",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687014424",
            "telephone_number": "402-844-8284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTZELL",
        "first_name": "MARYANNE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-03",
        "last_updated": "2011-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "227669",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NE",
            "license": "26205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARYANNE",
            "last_name": "SKAVDAHL",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Halle E Hart, DPT
• Kenny T Hart
• Laura Hart
• Lily Hartl
• Margaret Hartsock
• Tristan Layton Hartzell, M.D.
• Cynthia Hatfield
• Jenna L Hatfield, DDS
• Carla Maria Hatona
• Carlisa Elisabeth Hatona

• Cardiovascular Disease Physician in Norfolk, NE
• Providers in Norfolk, NE by specialty
• Cardiovascular Disease Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• 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.