MR. MARK RANDY HALSTROM MD NPI 1982601647

NPI Information

  • NPI: 1982601647
  • Provider Name: MR. MARK RANDY HALSTROM, MD
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 100 2ND ST S
    SARTELL, MN
    ZIP 56377
  • Phone: (320) 251-2600

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NPI Details

MR. Mark Randy Halstrom, MD is a family medicine in Sartell, MN with 28 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MR. Mark Randy Halstrom, MD NPI is 1982601647. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduation Year:1997

The provider's business location address is:

100 2ND ST S
SARTELL, MN
ZIP 56377-977
Phone: (320) 251-2600
Fax: (320) 251-4763

The NPI 1982601647 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Annual depression screening, 15 minutes (HCPCS:G0444)
  • Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional (HCPCS:99211)
  • Aspiration and/or injection of fluid large joint using ultrasound guidance (HCPCS:20611)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Hemoglobin a1c level (HCPCS:83036)
  • Influenza vaccine, quadrivalent derived from recombinant dna (HCPCS:90682)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Transitional care management services for problem of moderate complexity (HCPCS:99495)
  • Ultrasonic guidance for needle placement (HCPCS:76942)
  • Automated urinalysis test (HCPCS:81003)

The enumeration date for this NPI number is 7/7/2005 and was last updated on 8/27/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine42506MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
101-05807OTHERMINNESOTAMEDICA
2HP30911OTHERMINNESOTAHEALTH PARTNERS
3G84004MEDICARE UPIN
4031216004OTHERMINNESOTAPRIME WEST
5MR143-104661OTHERMINNESOTAPREFERRED ONE
6169318P539OTHERMINNESOTAUCARE
741D31HAOTHERMINNESOTABLUE CROSS BLUE SHIELD
8010000253MEDICARE ID-TYPE UNSPECIFIEDMINNESOTA
9339524300MEDICAIDMINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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