MARK RETZ – Certified Registered Nurse Anesthetist, NPI 1013275502

MARK RETZ is a healthcare provider. based in Coon rapids, Minnesota. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. 090396 (MN). The NPI Number for MARK RETZ is 1013275502

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
MARK RETZ
NPI
1013275502
Phone
(763) 398-0124
Address
8990 SPRINGBROOK DR NW
Enumeration Date
2 May 2012
Last Update Date
11 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6512212164
Graduation Year
2012 (14 years ago)
PAC ID
9739330036
Group Practice PAC ID
3173436755
Professional Enrollment ID
I20121114000499
Address ID
MN551012502SA640XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:14State licenses:1Digital endpointsOther names

2,131 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MN

Provider Addresses for MARK RETZ

  • 8990 SPRINGBROOK DR NW

    SUITE 250

    COON RAPIDS, MN 554335850

    Phone: (763) 398-0124

    Type: Location

  • 435 Phalen Blvd

    Saint Paul, MN 551305302

    Phone: (651) 254-8080

    Type: Location

  • 1486 73 1/2 AVE NE

    FRIDLEY, MN 554323676

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $43.

Total Amount is formed as General ($43) + Research ($0) + Ownership ($0) = $43.

Last reported payment date: 2024-11-04 • Largest payer in this snapshot: Becton, Dickinson and Company ($24).

Total Amount

$43

General + Research + Ownership

Payments

2

Total payment records

General Amount

$43

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-04

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-11-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20121114000499ICertified Registered Nurse Anesthetist (Crna)MNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00142Anesthesia for lens surgery1413$0
View full utilization report →

Insurance plans in this area (ZIP 55433)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3173436755View full group profile
NameSpecialtyState
Emergency MedicineMN
Certified Registered Nurse Anesthetist (Crna)MN
Physical Therapist In Private PracticeMN
Occupational Therapist In Private PracticeMN
Physical Therapist In Private PracticeMN
Certified Registered Nurse Anesthetist (Crna)MN
-WI
Physical Therapist In Private PracticeMN
Certified Registered Nurse Anesthetist (Crna)CA
Physical Therapist In Private PracticeMN

Reviews

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Frequently asked questions

What is the standard ID for MARK RETZ in the U.S.?
In the U.S., MARK RETZ is identified by NPI 1013275502.
Is MARK RETZ's NPI status active today?
Active status means MARK RETZ's NPI record is not deactivated in the public file.
Which specialty label fits MARK RETZ?
NPPES ties MARK RETZ to Certified Registered Nurse Anesthetist in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MARK RETZ?
MARK RETZ is associated with Coon Rapids, Minnesota in the same public data insurers reference.
Who maintains MARK RETZ's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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