Individual provider Active NPI

Mark Kevin Peebles, PA-C

  • Physician Assistant
  • Pocahontas, IA
National Provider Identifier
1275743841
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2011011364 Issued in MO
Practice address
608 NW 7TH St
Pocahontas, IA 50574-1000
Phone
(800) 453-3030
NPI assigned
May 23, 2007
Last updated
May 4, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2011011364 MO Primary
Physician Assistant 363A00000X 1629 OK

Addresses

Primary practice location

608 NW 7TH St
Pocahontas, IA 50574-1000

Mailing address

RR 62 Box 235
Mansfield, MO 65704-9505
Phone (417) 543-6703

Other practice location 1

1337 S Sam Houston Blvd
Houston, MO 65483-2046
Phone (417) 967-5435

Other identifiers 3

IdentifierTypeStateIssuer
1076290OtherMOBOARD CERTIFICATION
PENDINGMedicaidMO
26D0889777OtherMOCLIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110726000899 MO Practitioner - Physician Assistant 5799848131 Reassigns benefits to 1 organization
I20250924002214 IA Practitioner - Physician Assistant 5799848131 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas County Memorial HospitalGroup PAC ID 9436041696, shared by 15 NPIs, 30 clinicians
Trinity Regional Medical CenterGroup PAC ID 7315858529, 170 clinicians

Practice addresses (Care Compare)

1333 S Sam Houston Blvd
Houston, MO 65483-2046

1333 S Sam Houston Blvd a
Houston, MO 65483-2046
Phone (417) 967-1252

1335 S Sam Houston Blvd
Houston, MO 65483-2046

1337 S Sam Houston Blvd
Houston, MO 65483-2046
Phone (417) 967-5435

1525 W 5TH St
Buena Vista Regional Medical Center
Storm Lake, IA 50588-3027
Phone (712) 732-4030

211 Highland Ave
Sac City, IA 50583-2424
Phone (712) 662-7105

520 Otsego St
Storm Lake, IA 50588-1760
Phone (712) 299-4750

551 Park Ave
Sac City, IA 50583-2427
Phone (712) 662-6260

606 NW 7TH St
Pocahontas, IA 50574-1028

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1629OKMDPharmacotherapy Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Regional Medical Center CurrentSince Sep 22, 2025 Accepting new patients
St Luke's Methodist Hospital Current Accepting new patients
Mansfield Clinic, Inc. CurrentSince Aug 13, 2023 Accepting new patients
Texas County Memorial Hospital Past Accepting new patients
Integris Rural Health Inc Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients
Texas County Memorial Hospital Past Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

802 Kenyon Rd
Fort Dodge, IA 50501
Phone (515) 574-6565

608 NW 7th St
Pocahontas, IA 50574
Phone (712) 335-5632

120 W Lincoln Ave
Ava, MO 65608
Phone (417) 683-6790

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: mpeebles1216683@direct.unitypoint.org

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777852800000",
    "number": "1275743841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 62 BOX 235",
            "city": "MANSFIELD",
            "state": "MO",
            "postal_code": "657049505",
            "telephone_number": "417-543-6703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 NW 7TH ST",
            "city": "POCAHONTAS",
            "state": "IA",
            "postal_code": "505741000",
            "telephone_number": "800-453-3030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1337 S Sam Houston Blvd",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "MO",
            "postal_code": "654832046",
            "country_code": "US",
            "telephone_number": "417-967-5435",
            "fax_number": "417-967-5503",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEEBLES",
        "first_name": "MARK",
        "middle_name": "KEVIN",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "2011011364",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "1629",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD CERTIFICATION",
            "identifier": "1076290",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "26D0889777",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pocahontas, IA

Sources for this page

Verify at the official NPI Registry.