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Active NPI 1306189840 Individual Practitioner Male Practitioner

Mark W Koppenberg , RN

Registered Nurse • Richfield, MN

Professional Overview & Biography Verified Profile Summary

Mark Koppenberg, RN is a registered healthcare professional specializing in Registered Nurse in Richfield, MN. Practice services are available at 6461 - LYNDALE AVE SO under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6461 - Lyndale Ave So

Richfield, MN 55423

Telephone 6128614272
Fax 6126050078
Associated Practice Facility / Clinic
🏢 Crystal Care Pca Inc Facility NPI 1992783955

Specialty Benchmarks & Practice Insights

Comparative analytics for Registered Nurse in Richfield, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 7.8 Yrs
Regional Practice Density
15 Specialists

Practicing in Richfield, MN (3492 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

Registered Nurse Primary Specialty

NUCC Taxonomy Code: 163W00000X

State License MN R186537-0

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Practice Associates & Co-Workers

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

10 Associated Practitioners
Joan Abbott , RN

Registered Nurse

NPI 1013250513

Registered Nurse

Nancy Reischl , RN

Registered Nurse

NPI 1205179702

Registered Nurse

Laura Davis , RN

Registered Nurse

NPI 1225371719

Registered Nurse

Pamela Hansen , RN

Registered Nurse

NPI 1407199904

Registered Nurse

David Metz , PT

Physical Therapist

NPI 1457634867

Physical Therapist

Barb Olson , RN

Registered Nurse

NPI 1811230097

Registered Nurse

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active April 03, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location April 03, 2013

Registered at 6461 - LYNDALE AVE SO, RICHFIELD, MN 55423 (Tel: 6128614272)

📍
Updated Business Mailing Address April 03, 2013

Registered at 6461 - LYNDALE AVE SO, CRYSTAL CARE HOME HEALTH, RICHFIELD, MN 55423 (Tel: 6128614272)

👤
Provider Name / Credentials Updated April 03, 2013

Recorded as MARK KOPPENBERG, R.N.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 03, 2013

Registered Nurse (License #R186537-0 in MN)

🟢
Initial NPI Registration & Enumeration April 03, 2013

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: 1306189840
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 03, 2013
Last Update: April 03, 2013
Sole Proprietor: No

Mailing Address

6461 - Lyndale Ave So, Crystal Care Home Health

Richfield, MN 55423

Phone: 6128614272

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.