Vern John Prochaska, MD
Individual provider Active NPI Orthopaedic Surgery Physician · Park Rapids, MN
NPI 1891845947 · NPPES record last updated Mar 1, 2019
Key facts
- NPI
- 1891845947
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- License
- 10936 (ND)
- Practice address
- 600 Pleasant Ave S
Park Rapids, MN 56470-1431 - Phone
- (218) 616-3700
- Fax
- (218) 616-3737
- NPI assigned
- Jan 11, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 4
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Orthopedic Surgery
- Education
- Creighton University School of Medicine, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St. Joseph'S Area Health Services
Practice addresses (Care Compare)
600 Pleasant Ave S
Park Rapids, MN 56470-1431
Phone (218) 732-3311
Hospital & facility affiliations
- St Josephs Area Health Services
- Sanford Bemidji Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 1-10 |
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 |
|---|---|---|---|---|
| I20190228000124 | MN | Practitioner - Orthopedic Surgery | 2264429257 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Joseph'S Area Health Services | Current |
Accepting new patients | |
| St Joseph'S Area Health Services | Current |
Accepting new patients |
Locations
3314 Solutions Ctr
Chicago, IL 60677
600 Pleasant Ave S
Park Rapids, MN 56470
Phone (218) 732-3311
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 7534 | NV | |
| Orthopaedic Surgery Physician | 207X00000X | 10936 | ND | Yes |
Addresses
Primary practice location
600 Pleasant Ave S
Park Rapids, MN 56470-1431
Mailing address
4302 13TH Ave S
Suite 4-366
Fargo, ND 58103-3395
Phone (701) 730-2278
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002019809 | Medicaid | NV |
NPI Registry JSON
{
"created_epoch": "1168473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551398400000",
"number": "1891845947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4302 13TH AVE S",
"address_2": "SUITE 4-366",
"city": "FARGO",
"state": "ND",
"postal_code": "581033395",
"telephone_number": "701-730-2278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 PLEASANT AVE S",
"city": "PARK RAPIDS",
"state": "MN",
"postal_code": "564701431",
"telephone_number": "218-616-3700",
"fax_number": "218-616-3737"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PROCHASKA",
"first_name": "VERN",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-11",
"last_updated": "2019-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NV",
"license": "7534",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "ND",
"license": "10936",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002019809",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Park Rapids, MN
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- Positive Pathways PLLC
- Annette Marie Pratt
- Corinna Prestegard
- Alicia Reardon
- Bradley A Refsland
- Jackie R Rehm
- Guy V Reich
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All providers in Park Rapids, MN · Orthopaedic Surgery 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 Mar 1, 2019. 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.