Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jack Mizelle, MD

Individual provider General Practice Physician · NPI 1629710157

Jack Mizelle, MD is a Family Practice in Mason City, Iowa. Graduated from Boston University School of Medicine in 2022, 4 years ago. Licensed in Iowa and South Carolina.

Years since qualifying
4
Trained at
Boston University School of Medicine
Licensed in
IA, SC
In the registry since
2022
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1010 4th St SW Ste 240
Mason City, IA 50401-2856
Phone: (641) 428-7766
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 54186 (IA)
General Practice Physician Taxonomy 208D00000X · Licence 93144 (SC)

Record details

NPI number1629710157
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 13, 2022
Last updated in NPPESJuly 15, 2025
Certification dateJuly 15, 2025
Mailing address1000 4th St Sw, Mason City, IA 50401-2800

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolBOSTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations5 on file with Medicare

Other providers in Mason City