Mark Mogensen, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

001660 Issued in IA

Practice address

460 N State Rd
Lake View, IA 51450-7307

Phone

(712) 830-3170

NPI assigned

Dec 12, 2005

Last updated

Jan 7, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Merit-based Incentive Payment System (MIPS)

Final score

84.59 of 100Reported as group

Quality

90

Promoting interoperability

84

Improvement activities

40

Cost

71.97

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Preferred Image

  • Adult Medicine Physician
  • Lake View, IA
  • NPI 1679430110
  NPD Authorized official
• North Central Iowa Mental Health Center Inc

  dba UnityPoint Health Berryhill Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fort Dodge, IA
  • NPI 1801635404
  NPD (past)

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

{
    "created_epoch": "1134345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767744000000",
    "number": "1881679900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 N STATE RD",
            "city": "LAKE VIEW",
            "state": "IA",
            "postal_code": "514507307",
            "telephone_number": "712-830-3170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 N STATE RD",
            "city": "LAKE VIEW",
            "state": "IA",
            "postal_code": "514507307",
            "telephone_number": "712-830-3170"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "326 4th St",
            "address_purpose": "LOCATION",
            "city": "Lake View",
            "state": "IA",
            "postal_code": "514507701",
            "country_code": "US",
            "telephone_number": "712-830-3170",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOGENSEN",
        "first_name": "MARK",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-12",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IA",
            "license": "001660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judisch Vision PC (Rock Judisch Vision Clinic PC)
• Lake View Family Chiropractic Clinic, PC
• Lakeview Health Care Operations (Lake View Health Care Center)
• Margaret A Liautaud, LISW
• John Richard Miller, PTA
• Deanna Moore
• Pharma340 LLC (Community Pharmacy of Lake View)
• Preferred Image
• Alecia Ann Smith, LISW
• Stewart Memorial Community Hospital (Stewart Memorial Clinic Lake View)

• Medical Physician Assistant in Lake View, IA
• Providers in Lake View, 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 Jan 7, 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.

Verify at the official NPI Registry.