MR. MARK GARY PENZENSTADLER MS, CRNA NPI 1801858253

Nurse Anesthetist, Certified Registered in Minneapolis, MN

Individual Male Nurse Anesthetist, Certified Registered

About MR. MARK GARY PENZENSTADLER MS, CRNA

Mark Penzenstadler is a provider established in Minneapolis, Minnesota and his medical specialization is Nurse Anesthetist, Certified Registered. The NPI number of Mark Penzenstadler is 1801858253 and was assigned on April 2006. The practitioner's primary taxonomy code is 367500000X with license number R1122796 (MN). The provider is registered as an individual and his NPI record was last updated 15 years ago.

NPI

1801858253

Provider NameMR. MARK GARY PENZENSTADLER MS, CRNA
Provider Location Address1 VETERANS DR MINNEAPOLIS, MN 55417
Provider Mailing Address9632 WASHBURN RD S BLOOMINGTON, MN 55431
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Enumeration Date04-03-2006
Last Update Date07-08-2007



Mark Penzenstadler is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.



Primary Taxonomy

Taxonomy Code367500000X
ClassificationNurse Anesthetist, Certified Registered
TypePhysician Assistants & Advanced Practice Nursing Providers
License No.R1122796
License StateMN
Taxonomy Description(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Business Address

MR. MARK GARY PENZENSTADLER MS, CRNA
1 VETERANS DR
MINNEAPOLIS, MN
ZIP 55417
Phone: (612) 725-2119

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Mailing Address

MR. MARK GARY PENZENSTADLER MS, CRNA
9632 WASHBURN RD S
BLOOMINGTON, MN
ZIP 55431
Phone:


Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
40343MEDICARE ID-TYPE UNSPECIFIED (04)MNCRNA

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1801858253
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
280116516210
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 0 + 1 + 1 + 6 + 5 + 1 + 6 + 2 + 1 + 0 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1801858253 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1023012762MR. PETER T. MITCHELL M.S.N., R.N., C.N.P.
Individual
Nurse Practitioner (Family)1 VETERANS DR 111H
MINNEAPOLIS, MN 55417
(612) 467-2986
1710984810 LISA HANSON DROGEMULLER RPH, BCPP
Individual
Pharmacist (Psychiatric)1 VETERANS DR VA MEDICAL CENTER
MINNEAPOLIS, MN 55417
(612) 660-7137
1225013881DR. KEN M KUNISAKI M.D.
Individual
Internal Medicine (Pulmonary Disease)1 VETERANS DR PULMONARY 111N
MINNEAPOLIS, MN 55417
(612) 467-4400
1437134152DR. BERET ANNE SKROCH PSY.D.
Individual
Psychologist (Clinical)1 VETERANS DR # 116A
MINNEAPOLIS, MN 55417
(612) 467-4608
1508844234DR. MARK A KLEIN MD
Individual
Internal Medicine (Hematology & Oncology)1 VETERANS DR 111E MINNEAPOLIS VETERANS AFFAIRS MEDICAL CENTER
MINNEAPOLIS, MN 55417
(612) 725-2000
1437137544 BRIAN S FIEDLER MD
Individual
Radiology (Diagnostic Radiology)1 VETERANS DR MAIL CODE 114 VA MEDICAL CENTER
MINNEAPOLIS, MN 55417
(612) 467-2038
1780655472MR. JEREMY D NIETZ PA-C
Individual
Physician Assistant (Medical)1 VETERANS DR
MINNEAPOLIS, MN 55417
(612) 725-2000
1093789182 BRIDGET HEGEMAN PHD., L.P.
Individual
Psychologist (Clinical)1 VETERANS DR 116B
MINNEAPOLIS, MN 55417
(612) 467-2074
1154383040MRS. GLORIA DULLINGER-BROWN CRNA
Individual
Nurse Anesthetist, Certified Registered1 VETERANS DR
MINNEAPOLIS, MN 55417
(612) 725-2000
1134183973 CRAIG WILLIAM JOHNSEN CRNA
Individual
Nurse Anesthetist, Certified Registered1 VETERANS DR
MINNEAPOLIS, MN 55417
(612) 725-2119
1275599136 CHAITANYA ANAND MD
Individual
Internal Medicine1 VETERANS DR VETERAN AFFAIR MEDICAL CENTER
MINNEAPOLIS, MN 55417
(612) 725-2000
1487610028DR. KYLE PROVINE LEHENBAUER M.D.
Individual
Internal Medicine1 VETERANS DR GENERAL INTERNAL MEDICINE (1110)
MINNEAPOLIS, MN 55417
(612) 467-2679
1760449722DR. KAREN ANN KATTAR PSYD
Individual
Psychologist (Clinical)1 VETERANS DR
MINNEAPOLIS, MN 55417
(612) 467-2125
1295792703DR. JENNIE LESKELA PH.D.
Individual
Psychologist (Clinical)1 VETERANS DR VAMC, PTSR, 116A6
MINNEAPOLIS, MN 55417
(612) 725-2125
1972560555 WENDY L RUBLE OTR L
Individual
Occupational Therapist1 VETERANS DR VA MEDICAL CENTER
MINNEAPOLIS, MN 55417
(612) 467-2368
1245298421MR. CHRIS (NONE) STENSETH NP
Individual
Nurse Practitioner (Family)1 VETERANS DR
MINNEAPOLIS, MN 55417
(612) 725-2000
1982662318DR. JULIA NICHOLE PERRY PHD, LP
Individual
Psychologist (Clinical)1 VETERANS DR (116A)
MINNEAPOLIS, MN 55417
(612) 467-1664
1144278953DR. KATHY JEAN CHRISTENSEN PH.D.
Individual
Clinical Neuropsychologist1 VETERANS DR GRECC (11G) VA MEDICAL CENTER
MINNEAPOLIS, MN 55417
(612) 467-3307
1215986724DR. JEANETTE IRENE HARRIS PH.D.
Individual
Psychologist (Clinical)1 VETERANS DR MAILSTOP 116B
MINNEAPOLIS, MN 55417
(612) 725-2000
1053362244MR. GREGG R JOLY MSW
Individual
Social Worker (Clinical)1 VETERANS DR
MINNEAPOLIS, MN 55417
(612) 467-3236

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Mr. Mark Gary Penzenstadler Ms, Crna is registered as an entity type code: 1. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.