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Deactivated NPI 1073737078 Deactivated / Inactive NPI Male Practitioner

Mark Thomas Haberer , LPN

Licensed Practical Nurse • Waterloo, IA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Mark Haberer has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 12, 2007
NPI Deactivation Date July 23, 2026
Total Practice Duration ~19 Years of Practice (2007 – 2026)

Professional Overview & Biography Verified Profile Summary

Mark Haberer, LPN was a registered Licensed Practical Nurse practicing in Waterloo, IA. Throughout an active medical career spanning 19 years, Mark Haberer provided care at the practice location at 3251 W 9TH ST until profile deactivation on 2026-07-23.

Practice Location & Contact Primary Location

Practice Address

3251 W 9th St

Waterloo, IA 507025310

Telephone 3192342893
Fax 3192340354
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Waterloo, IA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
13 Specialists

Practicing in Waterloo, IA (194 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License IA P48603

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Terri Redenius , RN

Registered Nurse - Psychiatric/Mental Health

NPI 1013104058

Registered Nurse

Brooke Holmes , RN

Registered Nurse - Psychiatric/Mental Health

NPI 1104574870

Registered Nurse

NPI 1124108873

Doctor of Philosophy (Ph.D.)

NPI 1124953963

Licensed Master Social Worker

Autumn Schrage , LISW

Social Worker - Clinical

NPI 1134584402

Licensed Independent Social Worker

Nicholas Rosauer , LMSW

Social Worker - Clinical

NPI 1134618663

Licensed Master Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated July 23, 2026

Record deactivated on July 23, 2026

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 3251 W 9TH ST, WATERLOO, IA 507025310 (Tel: 3192342893)

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Updated Business Mailing Address July 08, 2007

Registered at 3251 W 9TH ST, WATERLOO, IA 507025310 (Tel: 3192342893)

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Provider Name / Credentials Updated July 08, 2007

Recorded as MARK HABERER, LPN

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Licensed Practical Nurse (License #P48603 in IA)

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Initial NPI Registration & Enumeration April 12, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1073737078
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 12, 2007
Last Update: July 08, 2007
Deactivation Date: July 23, 2026

Mailing Address

3251 W 9th St

Waterloo, IA 507025310

Phone: 3192342893

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.