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Deactivated NPI 1265451991 Deactivated / Inactive NPI Male Practitioner

Mark Alexander Lothenore , NP

Nurse Practitioner • Walnut, MS

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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 Lothenore has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 19, 2006
NPI Deactivation Date January 20, 2021
Total Practice Duration ~15 Years of Practice (2006 – 2021)

Professional Overview & Biography Verified Profile Summary

Mark Lothenore, NP was a registered Nurse Practitioner practicing in Walnut, MS. Throughout an active medical career spanning 15 years, Mark Lothenore provided care at the practice location at 28301 HIGHWAY 15 until profile deactivation on 2021-01-20.

Historical Medicare Part B clinical services included complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count, blood test, comprehensive group of blood chemicals, insertion of needle into vein for collection of blood sample. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

28301 Highway 15

Walnut, MS 386839753

Telephone 6622230063
Associated Practice Facility / Clinic
🏢 Treesap Clinic, Inc. Facility NPI 1861673139

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Walnut, MS

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.0 Yrs
State Avg: 11.5 Yrs
Regional Practice Density
2 Specialists

Practicing in Walnut, MS (1098 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
72.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
200 110 $35.00 $7.67
80053 Blood test, comprehensive group of blood chemicals
198 110 $38.00 $10.43
36415 Insertion of needle into vein for collection of blood sample
159 80 $33.00 $2.95
99285 Emergency department visit for life threatening or functioning severity
72 72 $425.00 $141.22
99284 Emergency department visit with moderate level of medical decision making
60 60 $306.43 $97.07
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
56 33 $220.21 $58.71
99283 Emergency department visit with low level of medical decision making
50 49 $155.00 $53.05
36415 Insertion of needle into vein for collection of blood sample
41 33 $33.00 $2.97
83036 Hemoglobin A1C level
25 25 $42.00 $9.53
80061 Blood test, lipids (cholesterol and triglycerides)
24 24 $56.00 $13.13
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
20 20 $534.55 $110.97
99239 Hospital discharge day management, more than 30 minutes
14 14 $322.43 $86.27
84443 Blood test, thyroid stimulating hormone (TSH)
12 12 $72.00 $16.49
84439 Thyroxine (thyroid chemical), free
12 12 $39.00 $8.86
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
11 11 $560.73 $163.57

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MS R732656

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Practice Associates & Co-Workers

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

2 Associated Practitioners
Rhonda Taylor , FNP

Nurse Practitioner - Family

NPI 1467681726

Family Nurse Practitioner

NPI 1538624580

Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

Career & Practice History Timeline

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

7 Historical Events
⚠️
NPI Profile Deactivated January 20, 2021

Record deactivated on January 20, 2021

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 09, 2007

Registered at 28301 HIGHWAY 15, WALNUT, MS 386839753 (Tel: 6622230063)

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Updated Business Mailing Address July 09, 2007

Registered at 28301 HIGHWAY 15, WALNUT, MS 386839753 (Tel: 6622230063)

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Provider Name / Credentials Updated July 09, 2007

Recorded as MARK LOTHENORE, NP

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Nurse Practitioner (License #R732656 in MS)

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Initial NPI Registration & Enumeration July 19, 2006

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: 1265451991
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 19, 2006
Last Update: July 09, 2007
Deactivation Date: January 20, 2021

Mailing Address

28301 Highway 15

Walnut, MS 386839753

Phone: 6622230063

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.