Mark G Odden, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

D-074818 Issued in IA

Practice address

17893 224TH St
Manchester, IA 52057-8629

Phone

(563) 927-6183

Fax

(563) 927-6183

NPI assigned

Apr 13, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 8

Medicare fee-for-service enrollment

Enrolled in IA, WI2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Peoples Memorial HospitalGroup PAC ID 9931010790, 47 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Buchanan County Health Center Hospital, Independence, IA, CCN 161335
• Virginia Gay Hospital Hospital, Vinton, IA, CCN 161349

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: modden26375@direct.emplifyhealth.org
• Direct secure messaging: modden41215@direct.unitypoint.org

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.

• People'S Memorial Hospital

  • Emergency Medicine Physician
  • Independence, IA
  • NPI 1336281245
  Medicare reassignment Care Compare group NPD
• Delaware County Memorial Hospital

  • Critical Access Hospital
  • Manchester, IA
  • NPI 1750354676
  Medicare reassignment NPD
• Delaware County Memorial Hospital

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Manchester, IA
  • NPI 1982667929
  Medicare reassignment NPD
• Grundy County Memorial Hospital

  • Critical Access Hospital
  • Grundy Center, IA
  • NPI 1821055989
  Medicare reassignment NPD
• Palmer Lutheran Health Center, Inc.

  • Critical Access Hospital
  • West Union, IA
  • NPI 1598765398
  Medicare reassignment NPD
• St Luke'S Jones Regional Medical Center

  • Critical Access Hospital
  • Anamosa, IA
  • NPI 1164514741
  Medicare reassignment NPD
• Sumner Community Club

  • Medicare Defined Swing Bed Hospital Unit
  • Sumner, IA
  • NPI 1366442295
  Medicare reassignment NPD
• Sumner Community Club

  • Critical Access Hospital
  • Sumner, IA
  • NPI 1780684548

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Upland Hills Health Inc

  • Surgery Physician
  • Dodgeville, WI
  • NPI 1821258740
  Medicare reassignment NPD
• Iowa Physicians Clinic Medical Foundation

  • General Practice Physician
  • West Des Moines, IA
  • NPI 1366425274
  Medicare reassignment
• St. Luke'S Jones Regional Medical Center

  • Emergency Medicine Physician
  • Anamosa, IA
  • NPI 1942397328
  Medicare reassignment
• Virginia Gay Hospital, Inc

  • Critical Access Hospital
  • Vinton, IA
  • NPI 1164486726
  Medicare reassignment

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

• People'S Memorial Hospital

  • Critical Access Hospital
  • Independence, IA
  • NPI 1265595144
  Care Compare affiliation
• Virginia Gay Hospital, Inc

  • Critical Access Hospital
  • Vinton, IA
  • NPI 1164486726
  Care Compare affiliation

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446508800000",
    "number": "1528022993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 359",
            "city": "MANCHESTER",
            "state": "IA",
            "postal_code": "520570359",
            "telephone_number": "563-927-7457",
            "fax_number": "563-927-7518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17893 224TH ST",
            "city": "MANCHESTER",
            "state": "IA",
            "postal_code": "520578629",
            "telephone_number": "563-927-6183",
            "fax_number": "563-927-6183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODDEN",
        "first_name": "MARK",
        "middle_name": "G",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2015-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IA",
            "license": "D-074818",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RMC BC/BS IOWA",
            "identifier": "26702",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VINTON BC/BS IOWA",
            "identifier": "43951",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6274647",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1274647",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "327467",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4274647",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDE BC/BS IOWA",
            "identifier": "47146",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUMNER BC/BS IOWA",
            "identifier": "35258",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Grace Mills, PA-C
• Dana Ann Mormann
• Angela M Munson, RD
• Kelly J Muratorri
• Jason N Nolz, DC
• Chidi Ojinnaka, LISW
• Amanda Sue Olberding, DO
• Nicholas Olberding, O.D.
• Molly Olson, D.O.
• Nicholas Benjamin Payne, D.D.S.

• Certified Registered Nurse Anesthetist in Manchester, IA
• Providers in Manchester, IA by specialty
• Certified Registered Nurse Anesthetist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2015; 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.