Individual provider Active NPI

Mark Kenneth Magnus, DPM

  • Podiatrist
  • Owatonna, MN
National Provider Identifier
1710340724
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
1169 Issued in MN
Practice address
225 Cedardale Dr SE
Owatonna, MN 55060-4425
Phone
(507) 288-3443
NPI assigned
Mar 29, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Podiatrist 213E00000X 1169 MN Primary
Podiatrist 213E00000X 1138 WI
Foot & Ankle Surgery Podiatrist 213ES0103X 1138 WI
Foot & Ankle Surgery Podiatrist 213ES0103X 016005815 IL

Addresses

Primary practice location

225 Cedardale Dr SE
Owatonna, MN 55060-4425

Mailing address

225 Cedardale Dr SE
Owatonna, MN 55060-4425
Phone (507) 288-3443

Other practice location 1

1225 Highway 60 W
Faribault, MN 55021-4964
Phone (507) 334-1951

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, MN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20181015002148 WI Practitioner - Podiatry 2264729128 Reassigns benefits to 3 organizations
I20240429001020 MN Practitioner - Podiatry 2264729128 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northfield HospitalGroup PAC ID 2567372998, 121 clinicians
Advanced Foot and Ankle Clinic LLCGroup PAC ID 2769497247, 3 clinicians

Practice addresses (Care Compare)

2000 N a Ve
Northfieldm, MN 55057-1498

2000 N Ave
Northfield, MN 55057-1498
Phone (507) 646-1478

4645 Knutsen Dr
Farmington, MN 55024-8455
Phone (651) 460-2300

803 E School St
Owatonna, MN 55060-3112
Phone (507) 451-5950

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue60
Removal of skin lesions1-10
Removal of nail tissue274
Removal or shaving of skin growth155

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1138WIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Gundersen Lutheran Medical Center Inc CurrentSince Sep 21, 2018 Accepting new patients
Gundersen Lutheran Medical Center Inc Current Accepting new patients
Gundersen Lutheran Express Care, Inc CurrentSince Sep 21, 2018 Accepting new patients
Northfield Hospital CurrentSince Aug 1, 2024 Accepting new patients
Advanced Foot & Ankle Clinic LLC Podiatrist CurrentSince Mar 17, 2024 Accepting new patients
Advanced Foot & Ankle Clinic LLC Podiatrist CurrentSince Mar 17, 2024 Accepting new patients
Northfield Hospital CurrentSince Aug 1, 2024 Accepting new patients
Family Foot and Ankle Clinic LLC Podiatrist CurrentSince Aug 13, 2020 Accepting new patients
Gundersen Lutheran Medical Center, Inc CurrentSince Sep 21, 2018 Accepting new patients
Northfield Hospital Current Accepting new patients
Gundersen Clinic LTD CurrentSince Sep 21, 2018 Accepting new patients
Family Foot and Ankle Clinic LLC Podiatrist CurrentSince Aug 13, 2020 Accepting new patients
Advanced Foot & Ankle Clinic LLC Podiatrist Past Accepting new patients

Locations

1225 Highway 60 W
Faribault, MN 55021
Phone (507) 334-1951

4645 Knutsen Dr
Farmington, MN 55024
Phone (651) 460-2300

2000 North Ave
Northfield, MN 55057
Phone (507) 646-1000

803 E School St
Owatonna, MN 55060
Phone (507) 334-1951

210 9th St SE
Rochester, MN 55904
Phone (507) 529-6616

1836 South Ave
La Crosse, WI 54601
Phone (608) 788-8102

1910 South Ave
La Crosse, WI 54601
Phone (608) 775-2287

1600 Main St
Onalaska, WI 54650
Phone (608) 783-4681

5403 Normandy St
Weston, WI 54476
Phone (262) 210-7820

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26297/brand/1/csg/1/fhir/r4
  • Direct secure messaging: mark.magnus.1@26297.direct.athenahealth.com

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1459209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1710340724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 CEDARDALE DR SE",
            "city": "OWATONNA",
            "state": "MN",
            "postal_code": "550604425",
            "telephone_number": "507-288-3443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 CEDARDALE DR SE",
            "city": "OWATONNA",
            "state": "MN",
            "postal_code": "550604425",
            "telephone_number": "507-288-3443"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1225 Highway 60 W",
            "address_purpose": "LOCATION",
            "city": "Faribault",
            "state": "MN",
            "postal_code": "550214964",
            "country_code": "US",
            "telephone_number": "507-334-1951",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAGNUS",
        "first_name": "MARK",
        "middle_name": "KENNETH",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-29",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MN",
            "license": "1169",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "WI",
            "license": "1138",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WI",
            "license": "1138",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016005815",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owatonna, MN

Sources for this page

Verify at the official NPI Registry.