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DAVID MORTENSEN MD
NPI 1336898816
Student in an Organized Health Care Education/Training Program in Ann Arbor, MI

Active since March 22, 2022PECOS Enrolled
1500 E MEDICAL CENTER DR # B1D502, ANN ARBOR, MI 48109(734) 647-4144 Get Directions Write a Review

NPPES record last updated: June 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 7, 2023, May 15, 2023 (2 updates tracked since 2023).

About David Mortensen Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAVID MORTENSEN MD (NPI 1336898816) is an individual student in an organized health care education/training program in Ann Arbor, Michigan and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336898816
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDAVID MORTENSENCredential: MD
Location Address1500 E MEDICAL CENTER DR # B1D502Ann Arbor, MI 48109-5000
Mailing Address1500 E Medical Center Dr # B1d502Ann Arbor, MI 48109-5000
Phone(734) 647-4144
Sole ProprietorNo
Enumeration DateMarch 22, 2022
Last NPPES UpdateJune 7, 20232 updates tracked since enumeration
NPPES CertifiedJune 7, 2023
✔ NPI 1336898816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1500 E MEDICAL CENTER DR # B1D502, Ann Arbor, MI 48109
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

David Mortensen Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOHN JOSEPH BERGLUND III MD
Student in an Organized Health Care Education/Training Program
1500 E MEDICAL CENTER DR # B1D502
ANN ARBOR, MI 48109
Washtenaw County (734) 936-4000
ERIKA MOJICA MD
Radiology (Diagnostic Radiology)
1500 E MEDICAL CENTER DR # B1D502
ANN ARBOR, MI 48109
Washtenaw County (734) 647-4144
SURAYA KHALED NAHLAWI DO
Radiology (Diagnostic Radiology)
1500 E MEDICAL CENTER DR # B1D502
ANN ARBOR, MI 48109
Washtenaw County (734) 615-9016
MOLLY NICOLE PANTELIC
Student in an Organized Health Care Education/Training Program
1500 E MEDICAL CENTER DR # B1D502
ANN ARBOR, MI 48109
Washtenaw County (734) 647-4144

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 David Mortensen's NPI number?

The NPI number for David Mortensen is 1336898816. It was assigned to this individual provider in the NPPES registry on March 22, 2022.

Where is David Mortensen located?

David Mortensen practices at 1500 E Medical Center Dr # B1d502, Ann Arbor, MI 48109. The listed phone number is (734) 647-4144.

What is David Mortensen's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is David Mortensen enrolled in Medicare?

Yes. David Mortensen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for David Mortensen was last updated on June 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.