MARK CROSS PA-C
NPI 1205964939
Physician Assistant in Coeur D Alene, ID

Q: What is Mark Cross's NPI number?

The NPI number for Mark Cross is 1205964939. It was assigned to this individual provider in the NPPES registry on March 2, 2007.

Q: What is Mark Cross's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Mark Cross was last updated on June 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 02, 2007PECOS EnrolledAccepts Medicare Assignment

2426 N MERRITT CREEK LOOP STE A, COEUR D ALENE, ID 83814(208) 819-2183(208) 209-6063 Get Directions Write a Review

NPPES record last updated: June 2, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 2, 2026, Dec 1, 2025, Mar 3, 2023 and 1 more (4 updates tracked since 2019).

On this page

About Mark Cross Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARK CROSS PA-C (NPI 1205964939) is an individual physician assistant in Coeur D Alene, Idaho, licensed in Idaho (PA-1548) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1205964939

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameMARK CROSSCredential: PA-C

Location Address2426 N MERRITT CREEK LOOP STE ACoeur D Alene, ID 83814-4961

Mailing AddressPo Box 3687Coeur D Alene, ID 83816-2529 · (208) 819-2183 · Fax (208) 209-6063

Phone(208) 819-2183

Fax(208) 209-6063

Sole ProprietorNo

Medical School CMSOtherGraduated 2006

Enumeration DateMarch 2, 2007

Last NPPES UpdateJune 2, 20264 updates tracked since enumeration

NPPES CertifiedJune 2, 2026

✔ NPI 1205964939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in ID · PA-1548

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

2426 N MERRITT CREEK LOOP STE A, Coeur D Alene, ID 83814

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mark Cross Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2365548690

PECOS Enrollment IDI20081114000107

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83814 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$81.13 typical visit price

range $52.44 – $160.17

Typical copayment $20.28 (range $13.11 – $40.04)

Most-billed visit code 99203

Established Patient

$65.77 typical visit price

range $16.68 – $130.93

Typical copayment $16.44 (range $4.17 – $32.73)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

REBECCA HADDAD PA-C

Physician Assistant