NPIMap

Individual provider Active NPI

Mark Andrew Nielsen, M.D.

  • Internal Medicine Physician
  • North Platte, NE
National Provider Identifier
1730152984
Registry record updated Aug 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
17897 Issued in NE
Practice address
611 W Francis St
Suite 110
North Platte, NE 69101-0620
Phone
(308) 534-2532
Fax
(308) 534-6615
NPI assigned
Feb 8, 2006
Last updated
Aug 29, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 17897 NE Primary

Addresses

Primary practice location

611 W Francis St
Suite 110
North Platte, NE 69101-0620

Mailing address

611 W Francis St
Suite 110
North Platte, NE 69101-0620
Phone (308) 534-2532

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180423000754 SD Practitioner - Internal Medicine 9436053071 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Nebraska College of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avera McKennanGroup PAC ID 0345157103, 957 clinicians

Practice addresses (Care Compare)

1325 S Cliff Ave
Sioux Falls, SD 57105-1007

300 W 5TH St
Miller, SD 57362-1238
Phone (605) 853-0158

901 E Virgil Ave
Milbank, SD 57252-2124
Phone (605) 432-4538

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Avera McKennan CurrentSince May 1, 2018 Accepting new patients
The Physician Network Internal Medicine CurrentSince Sep 24, 2012 Accepting new patients
Avera McKennan CurrentSince May 1, 2018 Accepting new patients
Avera McKennan Current Accepting new patients
Internal Medicine Associates of North Platte LLC CurrentSince Jan 1, 2002 Accepting new patients
North Platte Nebraska Physician Group LLC Past Accepting new patients
Family Medicine Associates LLC PastSince Jan 1, 2002 Accepting new patients

Locations

2683 Solution Ctr
Chicago, IL 60677

1621 Front St
Henderson, NE 68371
Phone (402) 723-4445

2000 Q St
Ste 500
Lincoln, NE 68503
Phone (402) 421-0896

575 S 70th St
Ste 440
Lincoln, NE 68510
Phone (402) 484-5500

7121 Stephanie Ln
Ste 105
Lincoln, NE 68516
Phone (402) 484-8383

500 W Leota St
#150
North Platte, NE 69101
Phone (308) 532-3022

300 W 5th St
Miller, SD 57362
Phone (605) 853-0158

1325 S Cliff Ave
Sioux Falls, SD 57105
Phone (605) 322-5000

Organizations & group practices 7

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.

Hospital & facility affiliations 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346198400000",
    "number": "1730152984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 W FRANCIS ST",
            "address_2": "SUITE 110",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691010620",
            "telephone_number": "308-534-2532",
            "fax_number": "308-534-6615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 W FRANCIS ST",
            "address_2": "SUITE 110",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691010620",
            "telephone_number": "308-534-2532",
            "fax_number": "308-534-6615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIELSEN",
        "first_name": "MARK",
        "middle_name": "ANDREW",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2012-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NE",
            "license": "17897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Platte, NE

Sources for this page

Verify at the official NPI Registry.