Mark Brian Olmscheid Comnick, MD
Individual provider Active NPI Internal Medicine Physician · Wyoming, MN
NPI 1851380752 · NPPES record last updated Jun 10, 2020
Key facts
- NPI
- 1851380752
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 44941 (MN)
- Practice address
- 5200 Fairview Blvd
Wyoming, MN 55092-8013 - Phone
- (651) 982-7000
- NPI assigned
- Oct 14, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 17
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nephrology
- Education
- University of Washington School of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Fairview Health Services
Practice addresses (Care Compare)
6401 France Ave S
Edina, MN 55435-2104
Phone (952) 924-5000
Hospital & facility affiliations
- Fairview Lakes Health Services
- M Health Fairview University of MN Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040624000326 | MN | Practitioner - Nephrology |
9335124114 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healtheast Medical Research Institute | Internal Medicine | Current |
Accepting new patients |
| Welia Health | Current |
Accepting new patients | |
| Welia Health | Current |
Accepting new patients | |
| Fairview Health Services | Current |
Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| County of Meeker | Current |
Accepting new patients | |
| Fairview Express Care | Current |
Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients | |
| Healtheast Medical Research Institute | Current |
Accepting new patients | |
| Healtheast Medical Research Institute | Current | Accepting new patients | |
| County of Meeker | Current |
Accepting new patients | |
| Fairview Express Care | Current |
Accepting new patients | |
| Welia Health | Current | Accepting new patients | |
| Fairview Express Care | Current |
Accepting new patients | |
| Fairview Health Services | Past | Accepting new patients | |
| Mayo Clinic | Past | Accepting new patients |
Locations
14101 Fairview Dr
Ste 300
Burnsville, MN 55337
Phone (612) 273-5400
612 S Sibley Ave
Litchfield, MN 55355
Phone (320) 693-3242
6401 France Ave S
Minneapolis, MN 55435
Phone (952) 920-8477
717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617
301 Highway 65 S
Mora, MN 55051
Phone (320) 225-3317
911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313
1900 Centracare Cir
Saint Cloud, MN 56303
Phone (320) 252-2422
1575 Beam Ave
Saint Paul, MN 55109
Phone (651) 232-7000
45 10th St W
Saint Paul, MN 55102
Phone (651) 232-3000
1925 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-0100
5200 Fairview Blvd
Wyoming, MN 55092
Phone (651) 464-4611
Interoperability endpoints
- mcomnick191188@fairview.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 44941 | MN | Yes |
Addresses
Primary practice location
5200 Fairview Blvd
Wyoming, MN 55092-8013
Mailing address
5200 Fairview Blvd
Wyoming, MN 55092-8013
Phone (651) 982-7000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0406676 | Other | MEDICA HEALTH PLANS | |
| 143209 | Other | UCARE | |
| 2121656 | Other | ARAZ GROUP AMERICAS PPO | |
| 81604 | Other | CHAMPUS | |
| HP42375 | Other | HEALTH PARTNERS | |
| 1041077 | Other | PREFERRED ONE | |
| 882927600 | Medicaid | MN | |
| 842S4CO | Other | BLUE CROSS BLUE SHIELD | |
| 81604 | Other | FIRST HEALTH PLAN | |
| 882927600 | Other | MEDICAL ASSISTANCE | |
| 92204 | Other | ONE HEALTH PLAN GREAT WES | |
| EFF52704 | Other | MMSI |
Other providers in Wyoming, MN
- Tricia Carlson
- Patrick Casey
- Kevin R Chatwin
- Chen Chen
- Thomas K Comfort
- Sean Joseph Condon
- Margaret Olubunmi Daramola
- Nancy Kathryn Darling
- Julie Anne Desjardins
- Lauren Downie
All providers in Wyoming, MN · Internal Medicine Physician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 10, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.