Active NPI
Mark Jonathan Mosemann, M.D.
- Emergency Medicine Physician
- Rathdrum, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MC-2296
- Practice address
- 15622 N Highway 41
Rathdrum, ID 83858-8710 - Phone
- (208) 687-4878
- Fax
- (208) 687-4879
- NPI assigned
- Nov 9, 2005
- Last updated
- Aug 5, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MC-2296 | ID | Primary |
Addresses
Primary practice location
15622 N Highway 41
Rathdrum, ID 83858-8710
Mailing address
15622 N Highway 41
Rathdrum, ID 83858-8710
Phone (208) 687-4878
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY, ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Indiana University School of Medicine, 1999
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1593 E Polston Ave
Post Falls, ID 83854-5326
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MC-2296 | ID | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Idaho Day Surgery LLC | Current | Accepting new patients | |
| Northwest Emergency Physicians LLC | Emergency Medicine | Current | Accepting new patients |
| Memorial Hospital of Converse County | Past | Accepting new patients |
Locations
1593 E Polston Ave
Post Falls, ID 83854
Phone (208) 262-2300
750 N Syringa St
Ste 100
Post Falls, ID 83854
Phone (208) 262-2600
15622 N Highway 41
Rathdrum, ID 83858
Phone (208) 687-4878
2100 W Sunset Dr
Riverton, WY 82501
Phone (307) 856-4161
Organizations & group practices 4
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 Northwest Specialty Hospital
- General Acute Care Hospital
- Post Falls, ID
- NPI 1104824739
-
dba Nep
- Emergency Medicine Physician
- Arlington, WA
- NPI 1235172370
WY
-
- Personal Emergency Response Attendant
- Lander, WY
- NPI 1851439681
-
- General Practice Physician
- Douglas, WY
- NPI 1356496491
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Northwest Specialty Hospital
- General Acute Care Hospital
- Post Falls, ID
- NPI 1104824739
-
- Sleep Medicine (Psychiatry & Neurology) Physician
- Post Falls, ID
- NPI 1649123589
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754352000000",
"number": "1861473639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15622 N HIGHWAY 41",
"city": "RATHDRUM",
"state": "ID",
"postal_code": "838588710",
"telephone_number": "208-687-4878",
"fax_number": "208-687-4879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15622 N HIGHWAY 41",
"city": "RATHDRUM",
"state": "ID",
"postal_code": "838588710",
"telephone_number": "208-687-4878",
"fax_number": "208-687-4879"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSEMANN",
"first_name": "MARK",
"middle_name": "JONATHAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-09",
"last_updated": "2025-08-05",
"certification_date": "2025-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "ID",
"license": "MC-2296",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rathdrum, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.