Active NPI
Mark Kevin Peebles, PA-C
- Physician Assistant
- Pocahontas, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2011011364
- Practice address
- 608 NW 7TH St
Pocahontas, IA 50574-1000 - Phone
- (800) 453-3030
- NPI assigned
- May 23, 2007
- Last updated
- May 4, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1076290 | Other | MO | BOARD CERTIFICATION |
| PENDING | Medicaid | MO | |
| 26D0889777 | Other | MO | CLIA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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 Hospital
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1629 | OK | MD | Pharmacotherapy Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trinity Regional Medical Center | Current | Accepting new patients | |
| St Luke's Methodist Hospital | Current | Accepting new patients | |
| Mansfield Clinic, Inc. | Current | 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
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- 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.
-
dba UnityPoint Clinic
- Emergency Medicine Physician
- Fort Dodge, IA
- NPI 1073594156
-
- Rural Health Clinic/Center
- Mansfield, MO
- NPI 1811036791
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
-
- Critical Access Hospital
- Glasgow, MT
- NPI 1689685323
-
dba INTEGRIS NW Medical Group
- Family Medicine Physician
- Enid, OK
- NPI 1487800512
-
dba Ozarks Healthcare
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
-
dba TCMH Internal Medicine Associates
- Multi-Specialty Clinic/Center
- Houston, MO
- NPI 1306885587
-
dba TCMH Internal Medicine
- Rural Health Clinic/Center
- Houston, MO
- NPI 1710004486
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Sac City, IA
- NPI 1144378621
-
- Critical Access Hospital
- Pocahontas, IA
- NPI 1346241213
-
dba UnityPoint Health Trinity Regional Medical Center
- General Acute Care Hospital
- Fort Dodge, IA
- NPI 1487759858
-
- Medicare Defined Swing Bed Hospital Unit
- Houston, MO
- NPI 1023179298
-
- General Acute Care Hospital
- Houston, MO
- NPI 1790740363
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
- LZP Dental Enterprises, LLC
- Kylie Maurer, PA-C
- Eugene Mullins, MD
- North Central Iowa Mental Health Center, Inc (Berryhill Center for Mental Health)
- Emil J Pecholt, DO
- Paige Lynn Peterson, M.A., CFY-SLP
- Pocahontas Area Community School
- Pocahontas Community Hospital (Pocahontas Community Hospital Home Health)
- Pocahontas Community Hospital
- Pocahontas Community Hospital (Pocahontas Community Hospital Ambulance)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.