MARK STOCK (NP-C) – Family Nurse Practitioner, NPI 1962634154

MARK STOCK (NP-C) is a healthcare provider. based in Bloomington, Minnesota. specializing in NURSE PRACTITIONER. They hold the professional credentials NP-C. They hold a License No. R 163073-8 (MN). The NPI Number for MARK STOCK (NP-C) is 1962634154

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
MARK STOCK (NP-C)
NPI
1962634154
Phone
(651) 225-1102
Address
9401 JAMES AVE S STE 162
Enumeration Date
20 August 2009
Last Update Date
22 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
61223560082
Graduation Year
2009 (17 years ago)
PAC ID
7719028042
Professional Enrollment ID
I20100108000875
Address ID
MN554162830ST5810XBLVD300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:16State licenses:1Digital endpointsOther names

5,720 NURSE PRACTITIONER in MN

Provider Addresses for MARK STOCK (NP-C)

  • 9401 JAMES AVE S STE 162

    BLOOMINGTON, MN 554312549

    Phone: (651) 225-1102

    Fax: (612) 977-1208

    Type: Mailing

  • 5810 EXCELSIOR BLVD

    EDINA, MN 554162830

    Phone: (612) 235-6008

    Fax: (612) 235-6003

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $103.

Total Amount is formed as General ($103) + Research ($0) + Ownership ($0) = $103.

Last reported payment date: 2024-05-21 • Largest payer in this snapshot: Saluda Medical Americas, Inc. ($68).

Total Amount

$103

General + Research + Ownership

Payments

3

Total payment records

General Amount

$103

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-21

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: 2010-01-08

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
I20100108000875INurse PractitionerMNTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes21955$0
99213Established patient office or other outpatient visit, 20-29 minutes5622$0
99442Telephone medical discussion with physician, 11-20 minutes5624$0
View full utilization report →

Insurance plans in this area (ZIP 55431)

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Reviews

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Frequently asked questions

Is MARK STOCK (NP-C) listed with a National Provider Identifier?
Yes — MARK STOCK (NP-C) has NPI 1962634154 on file in the registry.
Would MARK STOCK (NP-C) appear as active to a payer?
You can treat MARK STOCK (NP-C) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is MARK STOCK (NP-C)?
MARK STOCK (NP-C) is associated with Family Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
Is MARK STOCK (NP-C) associated with Bloomington?
Public fields place MARK STOCK (NP-C) around Bloomington, Minnesota. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for MARK STOCK (NP-C) is noted as August 20, 2009 where the registry provides it.

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