MARK THOMAS HEPWORTH
NPI 1487232302
Nurse Practitioner - Psychiatric/Mental Health in Spencer, IA
About Mark Thomas Hepworth NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARK THOMAS HEPWORTH (NPI 1487232302) is an individual psychiatric/mental health provider in Spencer, Iowa, licensed in Iowa (G162956) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS, is affiliated with Spencer Municipal Hospital, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mark Thomas Hepworth 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.
Medicare Billing Reassignment
Medicare enrollment records show Mark Hepworth reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Spencer, IA 51301
- Reassigned Medicare billing, Iowa enrollment
- 176 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Spencer Municipal Hospital
Acute Care Hospitals · Spencer, IAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 51301 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SPENCER, IA 51301
SPENCER, IA 51301
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mark Hepworth's NPI number?
The NPI number for Mark Hepworth is 1487232302. It was assigned to this individual provider in the NPPES registry on March 31, 2021.
Where is Mark Hepworth located?
Mark Hepworth practices at 1200 1st Ave E Ste 1, Spencer, IA 51301. The listed phone number is (712) 264-6228.
What is Mark Hepworth's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Mark Hepworth enrolled in Medicare?
Yes. Mark Hepworth is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Mark Hepworth's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mark Hepworth reassigns Medicare benefits to Spencer Municipal Hospital (Spencer, IA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mark Hepworth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mark Hepworth accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Avera Health Plans and 4 other insurers list Mark Hepworth as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Mark Hepworth affiliated with any hospitals?
According to CMS data, Mark Hepworth is affiliated with Spencer Municipal Hospital.
When was this NPI record last updated?
The NPPES record for Mark Hepworth was last updated on March 31, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.
# Mark Thomas Hepworth · NPI 1487232302
Psychiatric/Mental Health physician in Spencer, Iowa. Individual provider, active in the CMS NPPES registry since March 31, 2021.
## Identity
- **NPI:** 1487232302 (Entity type: Individual)
- **Enumerated:** March 31, 2021
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** G162956 (Iowa)
- **Sole proprietor:** No
## Practice location
- **Address:** 1200 1ST AVE E STE 1, Spencer, IA 51301-4330
- **Phone:** (712) 264-6228
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Spencer Municipal Hospital (NPI 1255328621, Spencer, IA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** March 31, 2021
- **Other identifiers:** Other G162956 (IA)
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Source: [NPI Profile](https://npiprofile.com/npi/1487232302) · Data from the CMS NPPES public registry.