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MARK ANDREW NIELSEN M.D.
NPI 1730152984
Internal Medicine in North Platte, NE

Active since February 08, 2006PECOS EnrolledAccepts Medicare Assignment
611 W FRANCIS ST, SUITE 110, NORTH PLATTE, NE 69101(308) 534-2532(308) 534-6615 Get Directions Write a Review

NPPES record last updated: August 29, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mark Andrew Nielsen M.d. NPPES

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

MARK ANDREW NIELSEN M.D. (NPI 1730152984) is an individual internal medicine provider in North Platte, Nebraska, licensed in Nebraska (17897) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Avera Mckennan Hospital & University Health Center, and is a graduate of University Of Nebraska College Of Medicine (1986).

NPPES Registry Identity

NPI1730152984
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMARK ANDREW NIELSENCredential: M.D.
Location Address611 W FRANCIS ST, SUITE 110North Platte, NE 69101-0620
Mailing Address611 W Francis St, Suite 110North Platte, NE 69101-0620 · (308) 534-2532 · Fax (308) 534-6615
Phone(308) 534-2532
Fax(308) 534-6615
Sole ProprietorNo
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 1986
Enumeration DateFebruary 8, 2006
Last NPPES UpdateAugust 29, 2012
✔ NPI 1730152984 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NE · 17897
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
611 W FRANCIS ST, North Platte, NE 69101
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Other Identifiers 2

Medicare ID-Type Unspecified274979NE
Medicare UPINC51990NE

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.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

Mark Andrew Nielsen M.d. 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 ID9436053071
PECOS Enrollment IDI20180423000754
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 7

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
527 services201 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
141 services76 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
121 services120 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
61 services56 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
36 services36 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
23 services23 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Avera Mckennan Hospital & University Health Center

Acute Care Hospitals · Sioux Falls, SD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430016
Location1325 S Cliff AveSioux Falls, SD 57117 · Minnehaha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 69101 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
$121.35 typical visit price
range $52.69 – $160.21
Typical copayment $30.33 (range $13.17 – $40.05)
Most-billed visit code 99204
Established Patient
$93.55 typical visit price
range $16.90 – $131.25
Typical copayment $23.38 (range $4.22 – $32.81)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers14 claims14 services$95.56 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers14 claims14 services$35.38 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 15

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

CARMEN DEE RICHMAN P.A.
Physician Assistant
611 W FRANCIS ST
NORTH PLATTE, NE 69101
Lincoln County (308) 696-8280
JONI MICHELLE SANDOVAL
Nurse Practitioner (Family)
611 W FRANCIS ST, SUITE 100
NORTH PLATTE, NE 69101
Lincoln County (308) 520-6237
NORTH PLATTE NEBRASKA PHYSICIAN GROUP LLC
Internal Medicine (Nephrology)
611 W FRANCIS ST, STE 270
NORTH PLATTE, NE 69101
Lincoln County (308) 532-3022
JULIE ANN JOHNG APRN
Nurse Practitioner (Adult Health)
611 W FRANCIS ST, SUITE 270
NORTH PLATTE, NE 69101
Lincoln County (308) 532-3022
EDUARDO AUGUSTO FONSECA FREITAS MD
Internal Medicine (Infectious Disease)
611 W FRANCIS ST, SUITE 200
NORTH PLATTE, NE 69101
Lincoln County (308) 696-8280
MRS. BETHANY J ADAMS
Nurse Practitioner
611 W FRANCIS ST
NORTH PLATTE, NE 69101
Lincoln County (308) 568-3500
MRS. JOVANKA VUKSANOVIC M.D.
Internal Medicine
611 W FRANCIS ST
NORTH PLATTE, NE 69101
Lincoln County (308) 568-3730
NORTH PLATTE REGIONAL UROLOGY, LLC
Urology
611 W FRANCIS ST
NORTH PLATTE, NE 69101
Lincoln County (719) 393-2137

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 Nielsen's NPI number?

The NPI number for Mark Nielsen is 1730152984. It was assigned to this individual provider in the NPPES registry on February 8, 2006.

Where is Mark Nielsen located?

Mark Nielsen practices at 611 W Francis St Suite 110, North Platte, NE 69101. The listed phone number is (308) 534-2532.

What is Mark Nielsen's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Mark Nielsen enrolled in Medicare?

Yes. Mark Nielsen 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.

What insurance does Mark Nielsen accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Medica list Mark Nielsen 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.

Is Mark Nielsen affiliated with any hospitals?

According to CMS data, Mark Nielsen is affiliated with Avera Mckennan Hospital & University Health Center.

When was this NPI record last updated?

The NPPES record for Mark Nielsen was last updated on August 29, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.