MARK SANDEFUR
NPI 1255674073
Emergency Medicine in Wabasha, MN
About Mark Sandefur NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARK SANDEFUR (NPI 1255674073) is an individual emergency medicine provider in Wabasha, Minnesota, licensed in Minnesota (60108) and active in the NPI registry since March 2013. He is enrolled in Medicare PECOS, is affiliated with North Memorial Health Hospital, and is a graduate of Mayo Medical School (2013).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mark Sandefur is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Mark Sandefur reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Wabasha, MN 55981
- Reassigned Medicare billing, Minnesota enrollment
- 147 clinicians in this Medicare group
Winona, MN 55987
- Reassigned Medicare billing, Minnesota enrollment
- 275 clinicians in this Medicare group
Woodbury, MN 55125
- Reassigned Medicare billing, Minnesota enrollment
- 328 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
North Memorial Health Hospital
Acute Care Hospitals · Robbinsdale, MNPark Nicollet Methodist Hospital
Acute Care Hospitals · Saint Louis Park, MNRegions Hospital
Acute Care Hospitals · Saint Paul, MNHutchinson Health
Acute Care Hospitals · Hutchinson, MNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55981 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WABASHA, MN 55981
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mark Sandefur's NPI number?
The NPI number for Mark Sandefur is 1255674073. It was assigned to this individual provider in the NPPES registry on March 29, 2013.
Where is Mark Sandefur located?
Mark Sandefur practices at 1200 Grant Blvd W, Wabasha, MN 55981. The listed phone number is (608) 782-7300.
What is Mark Sandefur's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Mark Sandefur enrolled in Medicare?
Yes. Mark Sandefur is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Mark Sandefur's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mark Sandefur reassigns Medicare benefits to 3 organizations: Saint Elizabeths Hospital Of Wabasha Inc (Wabasha, MN), Gundersen Lutheran Medical Center Inc (Winona, MN) and Emergency Physicians Professional Association (Woodbury, MN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mark Sandefur's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Mark Sandefur affiliated with any hospitals?
According to CMS data, Mark Sandefur is affiliated with North Memorial Health Hospital, Park Nicollet Methodist Hospital, Regions Hospital and Hutchinson Health.
When was this NPI record last updated?
The NPPES record for Mark Sandefur was last updated on November 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mark Sandefur · NPI 1255674073
Emergency Medicine physician in Wabasha, Minnesota. Individual provider, active in the CMS NPPES registry since March 29, 2013.
## Identity
- **NPI:** 1255674073 (Entity type: Individual)
- **Enumerated:** March 29, 2013
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 60108 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 1200 GRANT BLVD W, Wabasha, MN 55981-1042
- **Phone:** (608) 782-7300
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Saint Elizabeths Hospital Of Wabasha Inc (NPI 1053346825, Wabasha, MN); Gundersen Lutheran Medical Center Inc (NPI 1952959603, Winona, MN); Emergency Physicians Professional Association (NPI 1972734721, Woodbury, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Mayo Medical School, class of 2013
## Record status
- **NPPES last updated:** November 17, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1255674073) · Data from the CMS NPPES public registry.