MARK WILDGEN MD
NPI 1902803539
Specialist in Bemidji, MN

Q: What is Mark Wildgen's NPI number?

The NPI number for Mark Wildgen is 1902803539. It was assigned to this individual provider in the NPPES registry on June 28, 2005.

Q: What is Mark Wildgen's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Mark Wildgen was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 June 28, 2005

69.67/100

CMS Quality Rating

1526 30TH ST NW, BEMIDJI, MN 56601(218) 751-0887 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Mark Wildgen Md NPPES

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

MARK WILDGEN MD (NPI 1902803539) is an individual specialist in Bemidji, Minnesota, licensed in Minnesota (27217) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1902803539

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameMARK WILDGENCredential: MD

Location Address1526 30TH ST NWBemidji, MN 56601-4133

Mailing Address1526 30th St NwBemidji, MN 56601-4133 · (218) 751-0887

Phone(218) 751-0887

Sole ProprietorNo

Enumeration DateJune 28, 2005

Last NPPES UpdateJuly 8, 2007

✔ NPI 1902803539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in MN · 27217

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1526 30TH ST NW, Bemidji, MN 56601

Open in Google Maps ↗

Other Identifiers 1

Medicare UPIND49063MN

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

69.67/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

72.79

Promoting Interoperability

Improvement Activities

Cost

18.54

Leave this field empty

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.

CALM MINDS MENTAL HEALTH SERVICES LLC

Nurse Practitioner (Psychiatric/Mental Health)