NPIMap

Individual provider Active NPI

Mark R Mencel, PA-C

  • Physician Assistant
  • Kenai, AK
National Provider Identifier
1417257908
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MED-PAC-LIC-27456 Issued in MT
Practice address
416 Frontage Rd Ste 400
Kenai, AK 99611-7770
Phone
(877) 522-1275
Fax
(833) 888-7145
NPI assigned
Oct 29, 2010
Last updated
Nov 18, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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 MED-PAC-LIC-27456 MT Primary
Medical Physician Assistant 363AM0700X PA2012-0061 NM

Addresses

Primary practice location

416 Frontage Rd Ste 400
Kenai, AK 99611-7770

Mailing address

220 South 16TH Ave
Unit B
Bozeman, MT 59715
Phone (406) 381-3308

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT, TX, AK, WA4 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20140204000325 MT Practitioner - Physician Assistant 2264687409 Reassigns benefits to 5 organizations
I20150409001716 TX Practitioner - Physician Assistant 2264687409 Reassigns benefits to 3 organizations
I20231004001163 AK Practitioner - Physician Assistant 2264687409 Reassigns benefits to 1 organization
I20231205003430 WA Practitioner - Physician Assistant 2264687409 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1204 Seward Ave
Searhc 1204 Behavioral Health Sitka
Sitka, AK 99835-7359
Phone (907) 966-8611

1206 Seward Ave
Searhc 1206 Behavioral Health Sitka
Sitka, AK 99835-7359
Phone (907) 966-8611

1209 Seward Ave
Searhc 1209 Behavioral
Sitka, AK 99835-7359
Phone (907) 966-8611

222 Tongass Dr
Sitka, AK 99835-9416
Phone (907) 966-2411

227 Tongass Dr
Sitka, AK 99835-9416
Phone (907) 966-2411

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Peters Community Hospital CurrentSince Jun 1, 2014 Accepting new patients
St. Peter's Health CurrentSince Jun 1, 2014 Accepting new patients
Southeast Alaska Regional Health Consortium Current Accepting new patients
Southeast Alaska Regional Health Consortium CurrentSince Jul 28, 2025 Accepting new patients
Ideal Option, PLLC CurrentSince Aug 21, 2023 Accepting new patients
Rosebud Indian Health Service CurrentSince Mar 31, 2015 Accepting new patients
Southeast Alaska Regional Health Consortium CurrentSince Jul 28, 2025 Accepting new patients
Ideal Option, PLLC Current Accepting new patients
Memorial Hospital Association CurrentSince Jul 1, 2015 Accepting new patients
Ideal Option, PLLC PastSince Nov 24, 2024 Accepting new patients
Billings Clinic Express Care, LLC Past Accepting new patients
Ideal Telemedicine Services, LLC Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients
Powell County Memorial Hospital Association Inc Past Accepting new patients
Valley Emergency Physicians New Mexico PC Past Accepting new patients

Locations (25 of 46)

2421 E Tudor Rd
Ste 108
Anchorage, AK 99507
Phone (907) 317-1703

1221 Noble St
Ste 101
Fairbanks, AK 99701
Phone (907) 456-4234

37 Chilkat Ave
Haines, AK 99827
Phone (907) 463-4040

3100 Channel Dr
Ste 300
Juneau, AK 99801
Phone (907) 463-4000

416 Frontage Rd
#200
Kenai, AK 99611
Phone (907) 283-6030

416 Frontage Rd
#400
Kenai, AK 99611
Phone (907) 283-5487

222 Tongass Dr
Sitka, AK 99835
Phone (907) 966-8519

3035 E Palmer Wasilla Hwy
Ste 301
Wasilla, AK 99654
Phone (907) 352-2459

1523 Wyoming Ave
Billings, MT 59102
Phone (406) 248-3175

1532 Ellis St
Ste 104
Bozeman, MT 59715
Phone (406) 577-6319

834 S Montana St
Butte, MT 59701
Phone (406) 723-0123

615 W Main St
Cut Bank, MT 59427
Phone (406) 872-2024

74 4th St N
Glasgow, MT 59230

617 10th Ave S
Great Falls, MT 59405
Phone (406) 727-9330

2475 E Broadway St
Helena, MT 59601
Phone (406) 442-2480

301 Saddle Dr
Ste G
Helena, MT 59601
Phone (406) 422-5905

1205 S Main St
Kalispell, MT 59901

2685 Palmer St
Ste D
Missoula, MT 59808
Phone (406) 327-4349

158 W Olive St
Newport, OR 97365
Phone (541) 248-2634

16410 Smokey Point Blvd
Ste 101
Arlington, WA 98223
Phone (360) 653-8711

1811 Howard Rd
Ste 101
Auburn, WA 98002

1215 120th Ave NE
Ste 201
Bellevue, WA 98005
Phone (425) 248-4200

3800 Byron Ave
Ste 116
Bellingham, WA 98229
Phone (509) 416-0253

3800 Byron Ave
Ste 122
Bellingham, WA 98229

667 Grant Rd
Ste 3
East Wenatchee, WA 98802
Phone (509) 860-6530

Organizations & group practices 20

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.

View all 20

Hospital & facility affiliations 35

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

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1288310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1417257908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 SOUTH 16TH AVE",
            "address_2": "UNIT B",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "59715",
            "telephone_number": "406-381-3308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 FRONTAGE RD STE 400",
            "city": "KENAI",
            "state": "AK",
            "postal_code": "996117770",
            "telephone_number": "877-522-1275",
            "fax_number": "833-888-7145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENCEL",
        "first_name": "MARK",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-29",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MT",
            "license": "MED-PAC-LIC-27456",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NM",
            "license": "PA2012-0061",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenai, AK

Sources for this page

Verify at the official NPI Registry.