Individual provider Active NPI

Mark K. Helgeson, OD

  • Optometrist
  • Park River, ND
National Provider Identifier
1932160132
Registry record updated Aug 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
475 Issued in ND
Practice address
121 Briggs Ave N
Park River, ND 58270-0714
Phone
(701) 284-7330
Fax
(701) 284-7332
NPI assigned
Mar 29, 2006
Last updated
Aug 30, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 475 ND Primary

Addresses

Primary practice location

121 Briggs Ave N
Park River, ND 58270-0714

Mailing address

PO Box O
Park River, ND 58270-0714
Phone (701) 284-7330

Other identifiers 2

IdentifierTypeStateIssuer
1932160132OtherNPI
60451MedicaidND

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100308000515 ND Practitioner - Optometry 9830234459 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heartland Eye Care, PCGroup PAC ID 2466442041, 5 clinicians

Practice addresses (Care Compare)

915 Park St E
Park River, ND 58270-4421
Phone (701) 284-7330

Merit-based Incentive Payment System (MIPS)

Final score
96.27 of 100Reported as group
Quality
92.54
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
475NDMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Heartland Eye Care, P.C. Optometrist CurrentSince Aug 17, 1990 Accepting new patients
Heartland Eye Care, PC Optometrist CurrentSince Aug 17, 1990 Accepting new patients

Locations

415 Hill Ave
Grafton, ND 58237
Phone (701) 352-1370

Interoperability endpoints

  • Direct secure messaging: mark.helgeson@direct.revolutionehr.com

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
First Care Health CenterPark River, ND, CCN 351326 Hospital Corporate Director Jan 1, 2015
First Care Health CenterPark River, ND, CCN 35Z326 Hospital Corporate Director Apr 1, 2015
First Care RHCPark River, ND, CCN 353405 Rural health clinic Corporate Director Apr 1, 2015

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314662400000",
    "number": "1932160132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX O",
            "city": "PARK RIVER",
            "state": "ND",
            "postal_code": "582700714",
            "telephone_number": "701-284-7330",
            "fax_number": "701-284-7332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 BRIGGS AVE N",
            "city": "PARK RIVER",
            "state": "ND",
            "postal_code": "582700714",
            "telephone_number": "701-284-7330",
            "fax_number": "701-284-7332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELGESON",
        "first_name": "MARK",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-29",
        "last_updated": "2011-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ND",
            "license": "475",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1932160132",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60451",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Park River, ND

Sources for this page

Verify at the official NPI Registry.