Mark David Zenke, MSN APRN FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209015206 Issued in IL

Practice address

219 Bedford Rd
Morris, IL 60450-1442

Phone

(815) 942-3000

Fax

(815) 942-2333

NPI assigned

Oct 3, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

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.

• Shahbain Internal Medicine LTD

  • Internal Medicine Physician
  • Palos Heights, IL
  • NPI 1295924439

  IL

  Medicare reassignment
• Tratt Clinic SC

  • General Practice Physician
  • Morris, IL
  • NPI 1730466871
  NPD (past)

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

{
    "created_epoch": "1475452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480896000000",
    "number": "1801345707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 BEDFORD RD",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604501442",
            "telephone_number": "815-942-3000",
            "fax_number": "815-942-2333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 BEDFORD RD",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604501442",
            "telephone_number": "815-942-3000",
            "fax_number": "815-942-2333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZENKE",
        "first_name": "MARK",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "MSN APRN FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-03",
        "last_updated": "2016-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041398904",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209015206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert A Wiltz, PH.D
• Margaret Wingate
• Hershel L Wix Jr., M.D.
• Jessica Woodward, PT, DPT
• Bonnie Lynn Yale, DMD
• Madison Zink
• Meiraj F Zuberi, MD
• Diane Marie Zuelke, ANP-FNP-BC

• All providers in Morris, IL
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.