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JACK MIZELLE MD
NPI 1629710157
Family Medicine in Mason City, IA

Active since April 13, 2022PECOS Enrolled
1010 4TH ST SW STE 240, MASON CITY, IA 50401(641) 428-7766 Get Directions Write a Review

NPPES record last updated: July 15, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Apr 1, 2025, Aug 22, 2024, Apr 13, 2022 (3 updates tracked since 2022).

About Jack Mizelle Md NPPES

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

JACK MIZELLE MD (NPI 1629710157) is an individual family medicine provider in Mason City, Iowa, licensed in Iowa (54186) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS, is affiliated with Mercyone North Iowa Medical Center, and is a graduate of Boston University School Of Medicine (2022).

NPPES Registry Identity

NPI1629710157
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJACK MIZELLECredential: MD
Location Address1010 4TH ST SW STE 240Mason City, IA 50401-2856
Mailing Address1000 4th St SwMason City, IA 50401-2800 · (641) 428-7000
Phone(641) 428-7766
Sole ProprietorNo
Medical School CMSBoston University School Of MedicineGraduated 2022
Enumeration DateApril 13, 2022
Last NPPES UpdateJuly 15, 20253 updates tracked since enumeration
NPPES CertifiedJuly 15, 2025
✔ NPI 1629710157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IA · 54186
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedGeneral PracticeTaxonomy 208D00000X · License 93144 (SC)
1010 4TH ST SW STE 240, Mason City, IA 50401
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Wellmark Health Plan of Iowa, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jack Mizelle Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8224567870
PECOS Enrollment IDI20251006003006
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Jack Mizelle reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

North Iowa Mercy Clinics
Same address
Obstetrics & Gynecology
1010 4TH ST SW STE 220
Mason City, IA 50401
  • Reassigned Medicare billing, Iowa enrollment
  • 420 clinicians in this Medicare group
NPI 1306857347 (641) 428-5100
Mercy Medical Center - New Hampton
46 mi
Family Medicine
308 N MAPLE AVE
New Hampton, IA 50659
  • Reassigned Medicare billing, Iowa enrollment
  • Also billed through NPI 1770651515 (Iowa)
  • 46 clinicians in this Medicare group
NPI 1568474369 (641) 394-2151
Veterans Memorial Hospital City Of Waukon Ia
84 mi
Rural Health
124 W GREENE ST
Postville, IA 52162
  • Reassigned Medicare billing, Iowa enrollment
  • Also billed through NPI 1164599643 (Iowa)
  • 89 clinicians in this Medicare group
NPI 1417696527 (563) 864-7221
Loring Hospital
103 mi
Nurse Anesthetist, Certified Registered
211 HIGHLAND AVE
Sac City, IA 50583
  • Reassigned Medicare billing, Iowa enrollment
  • Also billed through NPI 1144378621 (Iowa)
  • 26 clinicians in this Medicare group
NPI 1003965336 (712) 662-7105
Cogent Healthcare Of Iowa, PC
114 mi
Internal Medicine
701 10TH ST SE
Cedar Rapids, IA 52403
  • Reassigned Medicare billing, Iowa enrollment
  • 153 clinicians in this Medicare group
NPI 1982654497 (319) 861-7803

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mercyone North Iowa Medical Center

Acute Care Hospitals · Mason City, IA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160064
Location1000 Fourth Street SWMason City, IA 50401 · Cerro Gordo County
Emergency services Birthing friendly

Loring Hospital

Critical Access Hospitals · Sac City, IA
OwnershipVoluntary non-profit - Private
CMS Certification Number161370
Location211 Highland Avenue PO Box 217Sac City, IA 50583 · Sac County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50401 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
Most-billed visit code 99214
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

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

PATRICK ALAN COURTNEY MD
Family Medicine
1010 4TH ST SW STE 240
MASON CITY, IA 50401
Cerro Gordo County (641) 428-7766

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 Jack Mizelle's NPI number?

The NPI number for Jack Mizelle is 1629710157. It was assigned to this individual provider in the NPPES registry on April 13, 2022.

Where is Jack Mizelle located?

Jack Mizelle practices at 1010 4th St SW Ste 240, Mason City, IA 50401. The listed phone number is (641) 428-7766.

What is Jack Mizelle's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jack Mizelle enrolled in Medicare?

Yes. Jack Mizelle is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jack Mizelle's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jack Mizelle reassigns Medicare benefits to 5 organizations: North Iowa Mercy Clinics (Mason City, IA), Mercy Medical Center - New Hampton (New Hampton, IA), Veterans Memorial Hospital City Of Waukon Ia (Postville, IA), Loring Hospital (Sac City, IA) and Cogent Healthcare Of Iowa, PC (Cedar Rapids, IA). Each 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 Jack Mizelle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jack Mizelle accept?

Health plans from Medica and Wellmark Health Plan of Iowa, Inc. list Jack Mizelle 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 Jack Mizelle affiliated with any hospitals?

According to CMS data, Jack Mizelle is affiliated with Mercyone North Iowa Medical Center and Loring Hospital.

When was this NPI record last updated?

The NPPES record for Jack Mizelle was last updated on July 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.