Active NPI
Mark K. Helgeson, OD
- Optometrist
- Park River, ND
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 475
- 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, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932160132 | Other | NPI | |
| 60451 | Medicaid | ND |
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
Enrollment records 1
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
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 100
- Quality
- 92.54
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 23 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 475 | ND | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heartland Eye Care, P.C. | Optometrist | Current | Accepting new patients |
| Heartland Eye Care, PC | Optometrist | Current | Accepting new patients |
Locations
415 Hill Ave
Grafton, ND 58237
Phone (701) 352-1370
Interoperability endpoints
- 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.
| Facility | Type | Role | Since |
|---|---|---|---|
| First Care Health Center | Hospital | Corporate Director | Jan 1, 2015 |
| First Care Health Center | Hospital | Corporate Director | Apr 1, 2015 |
| First Care RHC | 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.
-
dba First Care RHC
- Rural Health Clinic/Center
- Park River, ND
- NPI 1306850706
Corporate Director
-
dba First Care Swing Bed
- Medicare Defined Swing Bed Hospital Unit
- Park River, ND
- NPI 1669568747
Corporate Director
-
dba First Care Health Center
- Critical Access Hospital
- Park River, ND
- NPI 1679669741
Corporate Director
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.
-
- Optometrist
- Park River, ND
- NPI 1932277936
-
- Optometrist
- Grafton, ND
- NPI 1518026046
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.