MARK WILLIAM MINTUN (PA-C) – Medical Physician Assistant, NPI 1306077755
Medical Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
1,648 PHYSICIAN ASSISTANT in IA
Provider Addresses for MARK WILLIAM MINTUN (PA-C)
802 Kenyon Rd
Fort Dodge, IA 505015740
Phone: (515) 574-6684
Fax: (515) 573-8710
Type: Location
Trinity Regional Medical Center, 802, Kenyon Road, Fort Dodge, Webster County, Iowa, 50501, United States
FORT DODGE, IA 505015740
Phone: (515) 574-6684
Fax: (515) 573-8710
Type: Location
2730, Summer Meadows Drive, Perry, Spring Valley Township, Dallas County, Iowa, 50220, United States
PERRY, IA 502202424
Phone: (515) 368-3368
Type: Mailing
PO BOX 430
WEBSTER CITY, IA 505950430
Phone: (515) 832-9400
Fax: (515) 832-9494
Type: Mailing
2350 HOSPITAL DR
WEBSTER CITY, IA 505956600
Phone: (515) 832-9400
Fax: (515) 832-9494
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: 2009-09-16
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20090916000632 | I | Physician Assistant | IA | TBD |
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.
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 50501)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IA | |
| Nurse Practitioner | IA | |
| Family Practice | IA | |
| Physician Assistant | IA | |
| O T O L A R Y N G O L O G Y | IA | |
| Family Practice, Emergency Medicine | IA | |
| Family Practice | IA | |
| Nurse Practitioner | IA | |
| Nurse Practitioner | WA | |
| Family Practice | IA |
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