Jack Mizelle, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

54186 Issued in IA

Practice address

1010 4TH St SW Ste 240
Mason City, IA 50401-2856

Phone

(641) 428-7766

NPI assigned

Apr 13, 2022

Last updated

Jul 15, 2025By 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 2

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Boston University School of Medicine, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Hospital & facility affiliations

• Loring Hospital Hospital, Sac City, IA, CCN 161370
• Mercyone North Iowa Medical Center Hospital, Mason City, IA, CCN 160064

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Cogent Healthcare of Iowa, PC

  • Internal Medicine Physician
  • Cedar Rapids, IA
  • NPI 1982654497

  Family Medicine

  Medicare reassignment NPD
• Loring Hospital

  • Certified Registered Nurse Anesthetist
  • Sac City, IA
  • NPI 1003965336
  Medicare reassignment NPD
• Loring Hospital

  • Critical Access Hospital
  • Sac City, IA
  • NPI 1144378621
  Medicare reassignment NPD
• Mercy Medical Center New Hampton

  dba MercyOne New Hampton Emergency

  • Emergency Medicine Physician
  • New Hampton, IA
  • NPI 1679641419
  Medicare reassignment NPD
• Mercy Medical Center New Hampton

  dba MercyOne New Hampton Medical Center (Hosp)

  • Critical Access Hospital
  • New Hampton, IA
  • NPI 1770651515
  Medicare reassignment NPD
• Veterans Memorial Hospital City of Waukon Ia

  • Critical Access Hospital
  • Waukon, IA
  • NPI 1164599643
  Medicare reassignment NPD
• Veterans Memorial Hospital City of Waukon Ia

  • Emergency Medicine Physician
  • Waukon, IA
  • NPI 1235260126
  Medicare reassignment NPD
• North Iowa Mercy Clinics

  dba MercyOne North Iowa Anesthesia Professional Services

  • Anesthesiology Physician
  • Mason City, IA
  • NPI 1780278242
  Medicare reassignment
• Loring Hospital

  dba Loring Hospital Family Hospice

  • Community Based Hospice Care Agency
  • Sac City, IA
  • NPI 1013066349
  NPD
• Mercy Medical Center - New Hampton

  dba Mercy Family Clinic - New Hampton

  • Family Medicine Physician
  • New Hampton, IA
  • NPI 1568474369
  NPD
• North Iowa Mercy Clinics

  dba MercyOne North Iowa Emergency Care

  • Emergency Medicine Physician
  • Mason City, IA
  • NPI 1568471597
  NPD
• North Iowa Mercy Clinics

  dba MercyOne North Iowa Family and Sports Medicine

  • Sports Medicine (Family Medicine) Physician
  • Mason City, IA
  • NPI 1982300349
  NPD

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

• Loring Hospital

  • Critical Access Hospital
  • Sac City, IA
  • NPI 1144378621
  Care Compare affiliation
• Mercy Health Services-Iowa Corp

  dba Mercy Medical Center-North Iowa

  • Rural Acute Care Hospital
  • Mason City, IA
  • NPI 1467537886
  Care Compare affiliation

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

{
    "created_epoch": "1649808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752537600000",
    "number": "1629710157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 4TH ST SW",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504012800",
            "telephone_number": "641-428-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 4TH ST SW STE 240",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504012856",
            "telephone_number": "641-428-7766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIZELLE",
        "first_name": "JACK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-13",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "SC",
            "license": "93144",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "54186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmizelle3926322@direct.trinity-health.org",
            "affiliation": "N",
            "endpointDescription": "MercyOne North Iowa Direct Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1010 4th St SW Ste 240",
            "city": "Mason City",
            "state": "IA",
            "country_code": "US",
            "postal_code": "504012856",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sherry Miller, ARNP
• Whitney Mills, PHARMD
• Emily Minear, LMHC
• Annu Minhas, MD
• Jay D Mixdorf, MD
• Hersi Cabdi Moallin
• Teresa A Mock, MD
• Timothy Molencamp, PT
• Megan Monsen
• David D Moore II, MPT

• Family Medicine Physician in Mason City, IA
• Providers in Mason City, IA by specialty
• Family Medicine Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2025; 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.