MR. MARK R ZELLMER (PA-C) – Medical Physician Assistant, NPI 1023013364

MR. MARK R ZELLMER (PA-C) is a healthcare provider. based in La crosse, Wisconsin. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 8874 (MN). The NPI Number for MR. MARK R ZELLMER (PA-C) is 1023013364

Main info

Male
43 Years Of Experience
Accepts Medicare Assignment
Name
MR. MARK R ZELLMER (PA-C)
NPI
1023013364
Phone
(608) 782-7300
Address
1836 SOUTH AVE
Enumeration Date
14 June 2005
Last Update Date
8 February 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6084898000
Graduation Year
1983 (43 years ago)
PAC ID
6901888387
Group Practice PAC ID
3971586439
Professional Enrollment ID
I20040601001433
Address ID
WI546349054HI400XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness75
Years active:20State licenses:2Digital endpointsOther names

3,672 PHYSICIAN ASSISTANT in WI

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Provider Addresses for MR. MARK R ZELLMER (PA-C)

  • 1836, South Avenue, La Crosse, La Crosse County, Wisconsin, 54601, United States

    LA CROSSE, WI 546015429

    Phone: (608) 782-7300

    Type: Mailing

  • 18606, Ervin Street, Whitehall, Trempealeau County, Wisconsin, 54773, United States

    WHITEHALL, WI 547738613

    Phone: (715) 538-4355

    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: 2004-06-01

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
I20040601001433IPhysician AssistantWITBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes6535$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes4725$0
99239Hospital discharge day management, more than 30 minutes3028$0
99316Nursing facility discharge management, more than 30 minutes2724$0
99306Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes2421$0
View full utilization report →

Insurance plans in this area (ZIP 54601)

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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: 3971586439View full group profile
NameSpecialtyState
Family PracticeWI
Family PracticeWI
-WI
-WI
Nurse PractitionerWI
Clinical Social WorkerWI
Physician AssistantWI
Physician AssistantWI
Certified Registered Nurse Anesthetist (Crna)WI
Family PracticeWI

Reviews

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Frequently asked questions

How do payers reference MR. MARK R ZELLMER (PA-C)?
For MR. MARK R ZELLMER (PA-C), use NPI 1023013364 as the unique 10-digit identifier.
Is MR. MARK R ZELLMER (PA-C) still an active registrant?
MR. MARK R ZELLMER (PA-C) carries an active NPI according to the public dataset.
What area of care is associated with MR. MARK R ZELLMER (PA-C)?
MR. MARK R ZELLMER (PA-C)'s record emphasizes Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MR. MARK R ZELLMER (PA-C)?
Travel planning: use La Crosse, Wisconsin as the reference point for MR. MARK R ZELLMER (PA-C), then confirm.
When was this NPI issued?
Enumeration for MR. MARK R ZELLMER (PA-C) is noted as June 14, 2005 where the registry provides it.

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