MARK POWERS (PA) – Medical Physician Assistant, NPI 1750332144

MARK POWERS (PA) is a healthcare provider. based in Wallingford, Connecticut. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 000337 (CT). The NPI Number for MARK POWERS (PA) is 1750332144

Main info

Male
38 Years Of Experience
Accepts Medicare Assignment
Name
MARK POWERS (PA)
NPI
1750332144
Phone
(203) 284-2800
Address
PO BOX 400
Enumeration Date
12 May 2006
Last Update Date
30 January 2020

Doctor Profile

Medical School Name
YALE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1988 (38 years ago)
PAC ID
8527199942
Group Practice PAC ID
1153224191
Professional Enrollment ID
I20100629000796
Address ID
CT064922828Wa50XXXRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,244 PHYSICIAN ASSISTANT in CT

Provider Addresses for MARK POWERS (PA)

  • PO BOX 400

    WALLINGFORD, CT 064927048

    Phone: (203) 284-2800

    Fax: (203) 294-8734

    Type: Mailing

  • GAYLORD FARMS RD.

    WALLINGFORD, CT 06492

    Phone: (203) 284-2800

    Fax: (203) 679-3598

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2010-06-29

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
I20100629000796IPhysician AssistantCTTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06492)

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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: 1153224191View full group profile
NameSpecialtyState
Nurse PractitionerCT
Nuclear Medicine, Cardiovascular Disease (Cardiology), Internal MedicineCT
Physical Medicine And RehabilitationCT
-CT
Physical Medicine And RehabilitationNY
Clinical PsychologistMA
Internal MedicineCT
Gastroenterology, Internal MedicineCT
Internal Medicine, HospitalistCT
Interventional Pain ManagementCT

Reviews

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Frequently asked questions

What is the registry number for MARK POWERS (PA)?
The registry entry for MARK POWERS (PA) shows NPI 1750332144.
Does the public listing show MARK POWERS (PA) as active?
MARK POWERS (PA)'s NPI record reflects an active status in NPPES.
What services align with MARK POWERS (PA)'s listing?
MARK POWERS (PA)'s public classification highlights Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
What city is tied to MARK POWERS (PA)?
The directory associates MARK POWERS (PA) with Wallingford, Connecticut. Check all listed addresses for suites or satellite offices.
Who maintains MARK POWERS (PA)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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