Vern John Prochaska, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

10936 Issued in 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

Last updated

Mar 1, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

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 ServicesGroup PAC ID 0345146510, 21 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Josephs Area Health Services Hospital, Park Rapids, MN, CCN 241380
• Sanford Bemidji Medical Center Hospital, Bemidji, MN, CCN 240100

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• St. Joseph's Area Health Services

  dba CHI St. Joseph's Health

  • Critical Access Hospital
  • Park Rapids, MN
  • NPI 1023086055
  Medicare reassignment Care Compare group NPD
• St Joseph's Area Health Services

  dba CHI St. Joseph's Health Clinic

  • Clinic/Center
  • Park Rapids, MN
  • NPI 1013460864
  NPD
• St Josephs Community Dental Clinic

  • Critical Access Hospital
  • Park Rapids, MN
  • NPI 1316014202
  NPD (past)

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

• Sanford Health of Northern Minnesota

  dba Joe Lueken Cancer Center

  • Internal Medicine Physician
  • Bemidji, MN
  • NPI 1780628149

  Hospital

  Care Compare affiliation
• Sanford Health of Northern Minnesota

  dba Sanford Bemidji Medical Center

  • Rural Acute Care Hospital
  • Bemidji, MN
  • NPI 1801870191
  Care Compare affiliation
• St. Joseph's Area Health Services

  dba CHI St. Joseph's Health

  • Critical Access Hospital
  • Park Rapids, MN
  • NPI 1023086055
  Care Compare affiliation

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

{
    "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": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Pittman, DMSC, PA-C
• Pleasant Avenue Dentistry PLLC
• Positive Pathways PLLC
• Annette Marie Pratt, APRN
• Corinna Prestegard, PT
• Alicia Reardon, NDTR
• Bradley A Refsland, MD
• Jackie R Rehm, RPH
• Guy V Reich, DDS
• Michelle Lynn Rice, PTA

• Orthopaedic Surgery Physician in Park Rapids, MN
• Providers in Park Rapids, MN by specialty
• Orthopaedic Surgery Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2019; 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.
• 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.

Verify at the official NPI Registry.