DR. DANIEL MORTENSEN MD
NPI 1447660931
Emergency Medicine in Holland, MI

Q: What is Daniel Mortensen's NPI number?

The NPI number for Daniel Mortensen is 1447660931. It was assigned to this individual provider in the NPPES registry on May 6, 2014.

Q: What is Daniel Mortensen's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Daniel Mortensen was last updated on February 2, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since May 06, 2014PECOS EnrolledAccepts Medicare Assignment

602 MICHIGAN AVE, HOLLAND, MI 49423(616) 392-5141 Get Directions Write a Review

NPPES record last updated: February 2, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Daniel Mortensen Md NPPES

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

DR. DANIEL MORTENSEN MD (NPI 1447660931) is an individual emergency medicine provider in Holland, Michigan, licensed in Michigan (4301105002) and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS and is a graduate of Michigan State University College Of Human Medicine (2014).

NPPES Registry Identity

NPI1447660931

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameDR. DANIEL MORTENSENCredential: MD

Location Address602 MICHIGAN AVEHolland, MI 49423-4918

Mailing AddressPo Box 1012Newaygo, MI 49337-1012 · (231) 652-2500

Phone(616) 392-5141

Sole ProprietorNo

Medical School CMSMichigan State University College Of Human MedicineGraduated 2014

Enumeration DateMay 6, 2014

Last NPPES UpdateFebruary 2, 2017

✔ NPI 1447660931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in MI · 4301105002

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 4301105002 (MI)

602 MICHIGAN AVE, Holland, MI 49423

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Daniel Mortensen Md 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.

PECOS PAC ID7911223128

PECOS Enrollment IDI20160915002030

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.

Areas of Expertise CMS Part B claims 3

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

115 services113 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

68 services66 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

23 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49423 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.09 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

SUSAN BUIST LMSW

Social Worker (Clinical)