MR. MARK G DAVIS PA
NPI 1760561963
Physician Assistant - Medical in Algona, IA

Q: What is Mark Davis's NPI number?

The NPI number for Mark Davis is 1760561963. It was assigned to this individual provider in the NPPES registry on November 6, 2006.

Q: What is Mark Davis's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Mark Davis was last updated on July 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since November 06, 2006PECOS Enrolled

1519 S PHILLIPS ST, ALGONA, IA 50511(515) 295-7714(515) 295-4505 Get Directions Write a Review

NPPES record last updated: July 8, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Mr. Mark G Davis Pa NPPES

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

MR. MARK G DAVIS PA (NPI 1760561963) is an individual medical provider in Algona, Iowa, licensed in Iowa (000685) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760561963

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameMR. MARK G DAVISCredential: PA

Location Address1519 S PHILLIPS STAlgona, IA 50511-3649

Mailing Address1519 S Phillips StAlgona, IA 50511-3649 · (515) 295-7714 · Fax (515) 295-4505

Phone(515) 295-7714

Fax(515) 295-4505

Sole ProprietorNo

Enumeration DateNovember 6, 2006

Last NPPES UpdateJuly 8, 2020

NPPES CertifiedJuly 8, 2020

✔ NPI 1760561963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in IA · 000685

1519 S PHILLIPS ST, Algona, IA 50511

Open in Google Maps ↗

Other Identifiers 2

Other06226IA · Wellmark

Other36655IA · Wellmark

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Mark G Davis Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

1 supplier12 claims12 services$185.34 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

CHRISTIAN GRINDBERG DO

Family Medicine