1. Home
  2. Directory
  3. Iowa
  4. Fort Dodge
  5. Physician Assistant
  6. NPI Profile

MARA RENAE KOZISEK PA
NPI 1669276218
Physician Assistant in Fort Dodge, IA

Active since April 02, 2025PECOS EnrolledAccepts Medicare Assignment
802 KENYON RD, FORT DODGE, IA 50501(515) 573-3101 Get Directions Write a Review

NPPES record last updated: January 26, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 26, 2026, Apr 2, 2025 (2 updates tracked since 2025).

About Mara Renae Kozisek Pa NPPES

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

MARA RENAE KOZISEK PA (NPI 1669276218) is an individual physician assistant in Fort Dodge, Iowa, licensed in Iowa (134822) and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS, is affiliated with Trinity Regional Medical Center, and is a graduate of Des Moines University Of Osteopathic Medicine And Health Sciences (2025).

NPPES Registry Identity

NPI1669276218
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMARA RENAE KOZISEKCredential: PA
Location Address802 KENYON RDFort Dodge, IA 50501-5740
Mailing Address2923 Dodger Dr Unit 2Fort Dodge, IA 50501-6346 · (641) 512-1280
Phone(515) 573-3101
Sole ProprietorNo
Medical School CMSDes Moines University Of Osteopathic Medicine And Health SciencesGraduated 2025
Enumeration DateApril 2, 2025
Last NPPES UpdateJanuary 26, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 26, 2026
✔ NPI 1669276218 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 IA · 134822
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.
802 KENYON RD, Fort Dodge, IA 50501
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

Mara Renae Kozisek Pa 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 ID5294224994
PECOS Enrollment IDI20251031003364
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.

Hospital Affiliations CMS Care Compare

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

Trinity Regional Medical Center

Acute Care Hospitals · Fort Dodge, IA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160016
Location802 Kenyon RdFort Dodge, IA 50501 · Webster County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50501 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
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $32.99)
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 20

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

DR. SARAH ANNE TOFILON MD
Internal Medicine (Hematology & Oncology)
802 KENYON RD, MCFARLAND CLINIC
FORT DODGE, IA 50501
Webster County (515) 574-8302
DR. GAYLENE FAYE LYNCH D.O.
Emergency Medicine
802 KENYON RD
FORT DODGE, IA 50501
Webster County (515) 574-6684
CAITLIN MORIAH BERNAU
Nurse Practitioner (Family)
802 KENYON RD
FORT DODGE, IA 50501
Webster County (515) 574-6800
DR. CHRISTOPHER DAVID HILL D.O.
Emergency Medicine
802 KENYON RD
FORT DODGE, IA 50501
Webster County (515) 574-6684
CONNIE SUE FOX BSN, RN
Registered Nurse
802 KENYON RD
FORT DODGE, IA 50501
Webster County (515) 574-8322
TRINITY REGIONAL MEDICAL CENTER
Emergency Medicine
802 KENYON RD
FORT DODGE, IA 50501
Webster County (515) 573-3101
SAVANNAH MEREDITH WILTFANG DNAP, CRNA
Nurse Anesthetist, Certified Registered
802 KENYON RD
FORT DODGE, IA 50501
Webster County (515) 574-6865
JAMES MATTHEW WILSON M.D.
Internal Medicine (Critical Care Medicine)
802 KENYON RD
FORT DODGE, IA 50501
Webster County (515) 573-3101

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 Mara Kozisek's NPI number?

The NPI number for Mara Kozisek is 1669276218. It was assigned to this individual provider in the NPPES registry on April 2, 2025.

Where is Mara Kozisek located?

Mara Kozisek practices at 802 Kenyon Rd, Fort Dodge, IA 50501. The listed phone number is (515) 573-3101.

What is Mara Kozisek's specialty?

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

Is Mara Kozisek enrolled in Medicare?

Yes. Mara Kozisek 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.

Is Mara Kozisek affiliated with any hospitals?

According to CMS data, Mara Kozisek is affiliated with Trinity Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Mara Kozisek was last updated on January 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.