Mark William Mintun, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

002014 Issued in IA

Practice address

2350 Hospital Dr
Webster City, IA 50595-6600

Phone

(515) 832-9400

Fax

(515) 832-9494

NPI assigned

Aug 3, 2009

Last updated

Mar 18, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Madison County Memorial HospitalGroup PAC ID 6002727179, 42 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Madison County Health Care System Hospital, Winterset, IA, CCN 161326

Merit-based Incentive Payment System (MIPS)

Final score

93.78 of 100Reported as apm

Quality

80.38

Promoting interoperability

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

93.78 of 100Reported as apm

Quality

80.38

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mmint@vdmc.cernerdirect.com

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.

• Madison County Memorial Hospital

  • Critical Access Hospital
  • Winterset, IA
  • NPI 1831104611
  Medicare reassignment Care Compare group NPD
• Madison County Memorial Hospital

  dba Health Trust Physicians Clinic

  • Primary Care Clinic/Center
  • Winterset, IA
  • NPI 1093929390
  Medicare reassignment
• Madison County Memorial Hospital

  dba Madison County Health Care System

  • Medicare Defined Swing Bed Hospital Unit
  • Winterset, IA
  • NPI 1194880112
  NPD
• Madison County Memorial Hospital

  dba Madison County ER Doc

  • Emergency Care Clinic/Center
  • Winterset, IA
  • NPI 1386709129
  NPD
• Madison County Memorial Hospital

  dba Earlham Medical Clinic

  • Rural Health Clinic/Center
  • Earlham, IA
  • NPI 1497810097
  NPD (past)

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

• Madison County Memorial Hospital

  • Critical Access Hospital
  • Winterset, IA
  • NPI 1831104611
  Care Compare affiliation

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

{
    "created_epoch": "1249257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616025600000",
    "number": "1306077755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 430",
            "city": "WEBSTER CITY",
            "state": "IA",
            "postal_code": "505950430",
            "telephone_number": "515-832-9400",
            "fax_number": "515-832-9494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 HOSPITAL DR",
            "city": "WEBSTER CITY",
            "state": "IA",
            "postal_code": "505956600",
            "telephone_number": "515-832-9400",
            "fax_number": "515-832-9494"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "802 Kenyon Rd",
            "address_purpose": "LOCATION",
            "city": "Fort Dodge",
            "state": "IA",
            "postal_code": "505015740",
            "country_code": "US",
            "telephone_number": "515-574-6684",
            "fax_number": "515-573-8710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MINTUN",
        "first_name": "MARK",
        "middle_name": "WILLIAM",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-03",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IA",
            "license": "002014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmint@vdmc.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Van Diest Medical Center",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2350 Hospital Dr",
            "city": "Webster City",
            "state": "IA",
            "country_code": "US",
            "postal_code": "505956600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Medical Physician Assistant in Webster City, IA
• Providers in Webster City, IA by specialty
• Medical Physician Assistant in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2021; 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.

Verify at the official NPI Registry.