MR. MARK GARY PENZENSTADLER MS, CRNA NPI 1801858253
Nurse Anesthetist, Certified Registered in Minneapolis, MN
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 Name | MR. MARK GARY PENZENSTADLER MS, CRNA |
| Provider Location Address | 1 VETERANS DR MINNEAPOLIS, MN 55417 |
| Provider Mailing Address | 9632 WASHBURN RD S BLOOMINGTON, MN 55431 |
| Gender | Male |
| NPI Entity Type | Individual |
| Is Sole Proprietor? | No |
| Enumeration Date | 04-03-2006 |
| Last Update Date | 07-08-2007 |
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 Code | 367500000X |
| Classification | Nurse Anesthetist, Certified Registered |
| Type | Physician Assistants & Advanced Practice Nursing Providers |
| License No. | R1122796 |
| License State | MN |
| 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
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 |
|---|---|---|---|
| 40343 | MEDICARE ID-TYPE UNSPECIFIED (04) | MN | CRNA |
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. | |||||||||
| 1 | 8 | 0 | 1 | 8 | 5 | 8 | 2 | 5 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 8 | 0 | 1 | 16 | 5 | 16 | 2 | 10 | |
| 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 = 3 | 3 | ||||||||
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 |
|---|---|---|---|
| 1023012762 | MR. 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 |
| 1225013881 | DR. KEN M KUNISAKI M.D. Individual | Internal Medicine (Pulmonary Disease) | 1 VETERANS DR PULMONARY 111N MINNEAPOLIS, MN 55417 (612) 467-4400 |
| 1437134152 | DR. BERET ANNE SKROCH PSY.D. Individual | Psychologist (Clinical) | 1 VETERANS DR # 116A MINNEAPOLIS, MN 55417 (612) 467-4608 |
| 1508844234 | DR. 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 |
| 1780655472 | MR. 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 |
| 1154383040 | MRS. GLORIA DULLINGER-BROWN CRNA Individual | Nurse Anesthetist, Certified Registered | 1 VETERANS DR MINNEAPOLIS, MN 55417 (612) 725-2000 |
| 1134183973 | CRAIG WILLIAM JOHNSEN CRNA Individual | Nurse Anesthetist, Certified Registered | 1 VETERANS DR MINNEAPOLIS, MN 55417 (612) 725-2119 |
| 1275599136 | CHAITANYA ANAND MD Individual | Internal Medicine | 1 VETERANS DR VETERAN AFFAIR MEDICAL CENTER MINNEAPOLIS, MN 55417 (612) 725-2000 |
| 1487610028 | DR. KYLE PROVINE LEHENBAUER M.D. Individual | Internal Medicine | 1 VETERANS DR GENERAL INTERNAL MEDICINE (1110) MINNEAPOLIS, MN 55417 (612) 467-2679 |
| 1760449722 | DR. KAREN ANN KATTAR PSYD Individual | Psychologist (Clinical) | 1 VETERANS DR MINNEAPOLIS, MN 55417 (612) 467-2125 |
| 1295792703 | DR. 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 Therapist | 1 VETERANS DR VA MEDICAL CENTER MINNEAPOLIS, MN 55417 (612) 467-2368 |
| 1245298421 | MR. CHRIS (NONE) STENSETH NP Individual | Nurse Practitioner (Family) | 1 VETERANS DR MINNEAPOLIS, MN 55417 (612) 725-2000 |
| 1982662318 | DR. JULIA NICHOLE PERRY PHD, LP Individual | Psychologist (Clinical) | 1 VETERANS DR (116A) MINNEAPOLIS, MN 55417 (612) 467-1664 |
| 1144278953 | DR. KATHY JEAN CHRISTENSEN PH.D. Individual | Clinical Neuropsychologist | 1 VETERANS DR GRECC (11G) VA MEDICAL CENTER MINNEAPOLIS, MN 55417 (612) 467-3307 |
| 1215986724 | DR. JEANETTE IRENE HARRIS PH.D. Individual | Psychologist (Clinical) | 1 VETERANS DR MAILSTOP 116B MINNEAPOLIS, MN 55417 (612) 725-2000 |
| 1053362244 | MR. 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.