MARK J. KERNAN CRNA
NPI 1609953157
Nurse Anesthetist, Certified Registered in Waupun, WI
NPI Status: Active since November 01, 2006
Contact Information
620 W BROWN ST
WAUPUN, WI
ZIP 53963
Phone: (920) 324-5581
Fax: (920) 926-8370
- Individual
- Male
- Nurse Anesthetist, Certified Registered
About MARK KERNAN
This page provides the complete NPI Profile along with additional information for Mark Kernan, a provider established in Waupun, Wisconsin with a medical specialization in Nurse Anesthetist, Certified Registered. The healthcare provider is registered in the NPI registry with number 1609953157 assigned on November 2006. The practitioner's primary taxonomy code is 367500000X with license number 029908 (WI). The provider is registered as an individual and his NPI record was last updated 8 years ago.
- NPI
- 1609953157
- Provider Name
- MARK J. KERNAN CRNA
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 620 W BROWN ST WAUPUN, WI 53963
- Location Phone
- (920) 324-5581
- Location Fax
- (920) 926-8370
- Mailing Address
- 420 E DIVISION ST FOND DU LAC, WI 54935
- Mailing Phone
- (920) 926-8332
- Mailing Fax
- (920) 926-8370
- Is Sole Proprietor?
- No
- Enumeration Date
- 11-01-2006
- Last Update Date
- 04-11-2017
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Anesthetist, Certified Registered
- Taxonomy Code
- 367500000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 029908
- License State
- WI
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 163W00000X | Nursing Service Providers | Registered Nurse | 111617 (WI) |
| 2 | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | 138 (WI) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| R39672 | MEDICARE UPIN (02) | ||
| 43331900 | MEDICAID (05) | WI | |
| 211040008 | MEDICARE ID-TYPE UNSPECIFIED (04) | WI |
Reviews for MARK J. KERNAN CRNA
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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 | 6 | 0 | 9 | 9 | 5 | 3 | 1 | 5 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 0 | 9 | 18 | 5 | 6 | 1 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 0 + 9 + 1 + 8 + 5 + 6 + 1 + 1 + 0 + 24 = 63 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 63 = 7 | 7 | ||||||||
The NPI number 1609953157 is valid because the calculated check digit 7 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 |
|---|---|---|---|
| 1306840350 | VB ANESTHESIA Organization | Registered Nurse | 620 W BROWN ST WAUPUN, WI 53963 (920) 324-5581 |
| 1801852785 | GREGORY L SCHULZ MD Individual | Emergency Medicine | 620 W BROWN ST WAUPUN, WI 53963 (920) 324-5581 |
| 1437104841 | LINDA K BURMANIA PTA Individual | Physical Therapy Assistant | 620 W BROWN ST WAUPUN, WI 53963 (920) 324-6544 |
| 1205883261 | KATY E MENTELL PT Individual | Physical Therapist | 620 W BROWN ST WAUPUN, WI 53963 (920) 324-6544 |
| 1659328854 | LORI J MIYAZATO OTR Individual | Occupational Therapist | 620 W BROWN ST WAUPUN, WI 53963 (920) 324-6544 |
| 1568403095 | KATHERINE E HELLER PT Individual | Physical Therapist | 620 W BROWN ST WAUPUN, WI 53963 (920) 324-6544 |
| 1417998618 | DONNA L THOMAS OTR, CKTP Individual | Occupational Therapist | 620 W BROWN ST WAUPUN, WI 53963 (920) 324-6544 |
| 1144261363 | BARBARA E SCHMITT PT Individual | Physical Therapist | 620 W BROWN ST WAUPUN, WI 53963 (920) 324-6544 |
| 1649430380 | FAMILY & SPORTS ORTHOPAEDIC CENTER, LLC Organization | Orthopaedic Surgery | 620 W BROWN ST WAUPUN, WI 53963 (920) 356-1000 |
| 1033358478 | JACE LACHAPELLE DPT Individual | Physical Therapist | 620 W BROWN ST WAUPUN, WI 53963 (920) 324-5581 |
| 1225264492 | JANELLE GOBELI DPT Individual | Physical Therapist | 620 W BROWN ST WAUPUN, WI 53963 (920) 324-6544 |
| 1619104122 | STEPHANIE SCHUBERT DPT Individual | Physical Therapist | 620 W BROWN ST WAUPUN, WI 53963 (920) 324-6544 |
| 1881982908 | TRISHA R WEST DPT, LAT Individual | Physical Therapist | 620 W BROWN ST WAUPUN, WI 53963 (920) 324-6544 |
| 1265519714 | GARY L DENT CRNA Individual | Nurse Anesthetist, Certified Registered | 620 W BROWN ST WAUPUN, WI 53963 (920) 926-8332 |
| 1265425748 | DR. AARON B. HOFFNUNG M.D. Individual | Emergency Medicine | 620 W BROWN ST WAUPUN, WI 53963 (920) 324-5581 |
| 1467905281 | DANE PERLICK Individual | Physical Therapist | 620 W BROWN ST WAUPUN, WI 53963 (920) 324-5581 |
| 1043719420 | KOURTNEY KAYE LECHNER ULLRICH MS LPC Individual | Counselor (Mental Health) | 620 W BROWN ST WAUPUN, WI 53963 (920) 926-4200 |
| 1497234686 | LAKESIDE NEUROCARE LIMITED Organization | Psychiatry & Neurology (Neurology) | 620 W BROWN ST WAUPUN, WI 53963 (920) 223-5580 |
| 1730629874 | ERIN BAUER Individual | General Acute Care Hospital (Critical Access) | 620 W BROWN ST WAUPUN, WI 53963 (920) 324-5581 |
| 1427695626 | MADELINE YOUNGER OTR Individual | Occupational Therapist | 620 W BROWN ST WAUPUN, WI 53963 (920) 324-5581 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1609953157, enumerated in the NPI registry as an "individual" on November 01, 2006
The provider is located at 620 W Brown St Waupun, Wi 53963 and the phone number is (920) 324-5581
The provider's speciality is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on November 01, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.