MARTHA BARCK CNP
NPI 1629663141
Nurse Practitioner - Psychiatric/Mental Health in Northfield, MN

Active since March 05, 2021PECOS EnrolledAccepts Medicare Assignment
1400 JEFFERSON RD, NORTHFIELD, MN 55057(507) 663-9000 Get Directions Write a Review

NPPES record last updated: March 30, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 30, 2023, May 25, 2021, Mar 5, 2021 (3 updates tracked since 2021).

About Martha Barck Cnp NPPES

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

MARTHA BARCK CNP (NPI 1629663141) is an individual psychiatric/mental health provider in Northfield, Minnesota, licensed in Minnesota (8059) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Northfield, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1629663141
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMARTHA BARCKCredential: CNP
Location Address1400 JEFFERSON RDNorthfield, MN 55057-3081
Mailing Address570 Professional DrNorthfield, MN 55057-2756 · (507) 301-3412
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 5, 2021
Last NPPES UpdateMarch 30, 20233 updates tracked since enumeration
NPPES CertifiedMarch 30, 2023
✔ NPI 1629663141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MN · 8059
1400 JEFFERSON RD, Northfield, MN 55057

Other Names 1

Former Name (1)Martha Dompierre

Secondary Practice Location 1

Location 1570 Professional DrNorthfield, MN 55057-2756 · Phone (507) 301-3412

Accepted Insurance

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

Martha Barck Cnp 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 ID7911302153
PECOS Enrollment IDI20210914001933
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Martha Barck reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinic/Center
1400 JEFFERSON RD
Northfield, MN 55057
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,609 clinicians in this Medicare group
Urgent Care
1400 JEFFERSON RD
Northfield, MN 55057
  • Reassigned Medicare billing, Minnesota enrollment
  • 249 clinicians in this Medicare group
Psychologist
570 PROFESSIONAL DR
Northfield, MN 55057
  • Reassigned Medicare billing, Minnesota enrollment
  • 38 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

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
47 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55057 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

Family Medicine
1400 JEFFERSON RD
NORTHFIELD, MN 55057
Family Medicine
1400 JEFFERSON RD
NORTHFIELD, MN 55057
Family Medicine
1400 JEFFERSON RD
NORTHFIELD, MN 55057
Social Worker (Clinical)
1400 JEFFERSON RD
NORTHFIELD, MN 55057
Family Medicine (Sports Medicine)
1400 JEFFERSON RD
NORTHFIELD, MN 55057
Nurse Practitioner (Psychiatric/Mental Health)
1400 JEFFERSON RD
NORTHFIELD, MN 55057
Family Medicine
1400 JEFFERSON RD
NORTHFIELD, MN 55057
Nurse Practitioner (Family)
1400 JEFFERSON RD
NORTHFIELD, MN 55057

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 Martha Barck's NPI number?

The NPI number for Martha Barck is 1629663141. It was assigned to this individual provider in the NPPES registry on March 5, 2021. The provider is also known as Martha Dompierre.

Where is Martha Barck located?

Martha Barck practices at 1400 Jefferson Rd, Northfield, MN 55057. The listed phone number is (507) 663-9000.

What is Martha Barck's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Martha Barck enrolled in Medicare?

Yes. Martha Barck 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 Martha Barck's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Martha Barck reassigns Medicare benefits to 3 organizations: Allina Health System (Northfield, MN), Northfield Hospital (Northfield, MN) and Secure Base Counseling Center LLC (Northfield, 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 Martha Barck's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Martha Barck accept?

Health plans from HealthPartners and Medica list Martha Barck as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Martha Barck was last updated on March 30, 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.