Active NPI
Mark K Okeefe
- Certified Registered Nurse Anesthetist
- Plymouth, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 2640
- Practice address
- 14700 28TH Ave N Ste 20
Plymouth, MN 55447-4876 - Phone
- (763) 559-3779
- Fax
- (763) 450-3986
- NPI assigned
- Jun 18, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | R220766-5 | MN | |
| Certified Registered Nurse Anesthetist | 367500000X | 2640 | MN | Primary |
Addresses
Primary practice location
14700 28TH Ave N Ste 20
Plymouth, MN 55447-4876
Mailing address
PO Box 47159
Plymouth, MN 55447-0159
Phone (763) 559-3779
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, WI
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211101002015 | MN | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 8628466299 | Reassigns benefits to 7 organizations |
| I20230524001309 | WI | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 8628466299 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Twin Anesthesia LLCAllina Health SystemCentracare Clinic
Practice addresses (Care Compare)
2651 Hillcrest Dr
Hudson, WI 54016-9914
Phone (651) 275-3000
303 Catlin St
Buffalo, MN 55313-1947
Phone (763) 427-9980
3701 12TH St N
Suite 202
Saint Cloud, MN 56303-2253
Phone (320) 258-3090
Hospital & facility affiliations
- Centracare - St. Cloud Hospital
- Buffalo Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.6 of 100
- Quality
- 72.5
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.07
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2640 | MN | MD | Optometrist |
| R220766-5 | MN | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Anesthesia Providers, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Metropolitan Anesthesia Network, LLP | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Centracare Clinic | Current | Accepting new patients | |
| Centracare Health System-NR LLC | Current | Accepting new patients | |
| Twin Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Centracare Health System-NR LLC | Current | Accepting new patients | |
| Centracare Clinic | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Centracare Health System-NR LLC | Current | Accepting new patients | |
| Allina Health System | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Allina Health System | Current | Accepting new patients | |
| Centracare Clinic | Current | Accepting new patients |
Locations
303 Catlin St
Buffalo, MN 55313
Phone (763) 682-1212
4050 Coon Rapids Blvd NW
Minneapolis, MN 55433
Phone (763) 236-6786
2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800
500 Harvard St SE
Minneapolis, MN 55455
Phone (612) 273-7300
1013 Hart Blvd
Monticello, MN 55362
Phone (763) 271-2303
14700 28th Ave N
Ste 20
Plymouth, MN 55447
Phone (612) 559-3779
1900 Centracare Cir
Saint Cloud, MN 56303
Phone (320) 252-2422
3701 12th St N
Ste 202
Saint Cloud, MN 56303
Phone (320) 258-3090
1200 6th Ave N
Saint Cloud, MN 56303
Phone (320) 252-3342
310 Smith Ave N
Ste 100
Saint Paul, MN 55102
Phone (651) 251-5500
400 10th St E
Waconia, MN 55387
2651 Hillcrest Dr
Hudson, WI 54016
Phone (630) 632-2648
Interoperability endpoints
- mokeef873303@direct.centracare.com
Organizations & group practices 25
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.
-
- Certified Registered Nurse Anesthetist
- Blaine, MN
- NPI 1265105332
MN, Nurse Anesthetist, Certified Registered, WI
-
- Anesthesiology Physician
- Plymouth, MN
- NPI 1558314427
MN, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Minneapolis, MN
- NPI 1699711143
MN, Nurse Anesthetist, Certified Registered
-
- Multi-Specialty Clinic/Center
- Big Lake, MN
- NPI 1013104348
-
- Multi-Specialty Clinic/Center
- St Joseph, MN
- NPI 1134121759
-
- Clinic/Center
- Saint Cloud, MN
- NPI 1164978219
-
- Multi-Specialty Clinic/Center
- Saint Cloud, MN
- NPI 1225030844
-
- Primary Care Clinic/Center
- Clearwater, MN
- NPI 1255853115
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Substance Use Disorder Rehabilitation Hospital Unit
- Saint Cloud, MN
- NPI 1811150618
Hospital
-
- Substance Use Disorder Rehabilitation Hospital Unit
- Saint Cloud, MN
- NPI 1467615294
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676678400000",
"number": "1801465471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 47159",
"city": "PLYMOUTH",
"state": "MN",
"postal_code": "554470159",
"telephone_number": "763-559-3779",
"fax_number": "763-450-3986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14700 28TH AVE N STE 20",
"city": "PLYMOUTH",
"state": "MN",
"postal_code": "554474876",
"telephone_number": "763-559-3779",
"fax_number": "763-450-3986"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OKEEFE",
"first_name": "MARK",
"middle_name": "K",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-06-18",
"last_updated": "2023-02-18",
"certification_date": "2023-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MN",
"license": "R220766-5",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MN",
"license": "2640",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plymouth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2023; 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.