Active NPI
Nickolas S Demark, DO
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Oskaloosa, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Internal Medicine) Physician
- License
- DO-06639
- Practice address
- 1229 C Ave E
Oskaloosa, IA 52577-4246 - Phone
- (641) 672-3100
- Fax
- (641) 672-3381
- NPI assigned
- Jun 30, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 62482 | WI | |
| Internal Medicine Physician | 207R00000X | 62482 | WI | |
| Internal Medicine Physician | 207R00000X | 5101019580 | MI | |
| Hospice and Palliative Medicine (Internal Medicine) Physician | 207RH0002X | DO-06639 | IA | Primary |
Addresses
Primary practice location
1229 C Ave E
Oskaloosa, IA 52577-4246
Mailing address
1229 C Ave E
Oskaloosa, IA 52577-4298
Phone (641) 672-3236
Other practice location 1
1715 Dousman St
Green Bay, WI 54303-3211
Phone (920) 496-4700
Other practice location 2
1726 Shawano Ave
Green Bay, WI 54303-3216
Phone (920) 496-4700
Other practice location 3
130 2nd St
Neenah, WI 54956-2883
Phone (920) 729-2738
Other practice location 4
900 Illinois Ave
Stevens Point, WI 54481-3114
Phone (715) 346-5000
Other practice location 5
1818 N Meade St
Appleton, WI 54911-3454
Phone (920) 735-7645
Other practice location 6
900 Illinois Ave
Stevens Point, WI 54481-3114
Phone (715) 346-5000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Des Moines University of Osteopathic Medicine and Health Sciences, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mahaska County Hospital
Practice addresses (Care Compare)
1229 C Ave E
Mahaska Health
Oskaloosa, IA 52577-4298
Phone (641) 672-3100
Hospital & facility affiliations
- Mahaska Health Partnership Hospice Services
- Mahaska Health Partnership
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.81 of 100
- Quality
- 85.98
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.81 of 100
- Quality
- 85.98
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.81 of 100
- Quality
- 85.98
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101019580 | MI | MD | Internal Medicine Physician |
| DO-06639 | IA | MD | Hospice and Palliative Medicine (Internal Medicine) Physician |
| 62482 | WI | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| Mahaska County Hospital | Current | Accepting new patients | |
| Mahaska County Hospital | Current | Accepting new patients |
Locations
1229 C Ave E
Oskaloosa, IA 52577
Phone (641) 672-3100
201 Trueblood Ave
Oskaloosa, IA 52577
Phone (641) 672-3360
Interoperability endpoints
- ndemark1212872@direct.unitypoint.org
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Critical Access Hospital
- Oskaloosa, IA
- NPI 1356320659
-
- Family Medicine Physician
- Oskaloosa, IA
- NPI 1407869852
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Oskaloosa, IA
- NPI 1003886110
-
- Critical Access Hospital
- Oskaloosa, IA
- NPI 1356320659
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782864000000",
"number": "1114214004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1229 C AVE E",
"city": "OSKALOOSA",
"state": "IA",
"postal_code": "525774298",
"telephone_number": "641-672-3236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1229 C AVE E",
"city": "OSKALOOSA",
"state": "IA",
"postal_code": "525774246",
"telephone_number": "641-672-3100",
"fax_number": "641-672-3381"
}
],
"practiceLocations": [
{
"address_1": "1715 Dousman St",
"address_purpose": "LOCATION",
"city": "Green Bay",
"state": "WI",
"postal_code": "543033211",
"country_code": "US",
"telephone_number": "920-496-4700",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1726 Shawano Ave",
"address_purpose": "LOCATION",
"city": "Green Bay",
"state": "WI",
"postal_code": "543033216",
"country_code": "US",
"telephone_number": "920-496-4700",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "130 2nd St",
"address_purpose": "LOCATION",
"city": "Neenah",
"state": "WI",
"postal_code": "549562883",
"country_code": "US",
"telephone_number": "920-729-2738",
"fax_number": "920-729-3021",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "900 Illinois Ave",
"address_purpose": "LOCATION",
"city": "Stevens Point",
"state": "WI",
"postal_code": "544813114",
"country_code": "US",
"telephone_number": "715-346-5000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1818 N Meade St",
"address_purpose": "LOCATION",
"city": "Appleton",
"state": "WI",
"postal_code": "549113454",
"country_code": "US",
"telephone_number": "920-735-7645",
"fax_number": "920-735-7618",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "900 Illinois Ave",
"address_purpose": "LOCATION",
"city": "Stevens Point",
"state": "WI",
"postal_code": "544813114",
"country_code": "US",
"telephone_number": "715-346-5000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEMARK",
"first_name": "NICKOLAS",
"middle_name": "S",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-30",
"last_updated": "2026-07-01",
"certification_date": "2026-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "WI",
"license": "62482",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WI",
"license": "62482",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "5101019580",
"primary": false
},
{
"code": "207RH0002X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hospice and Palliative Medicine",
"state": "IA",
"license": "DO-06639",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oskaloosa, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.