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

Mara Renae Kozisek, PA

Individual provider Physician Assistant · NPI 1669276218

Mara Renae Kozisek, PA is a Physician Assistant in Fort Dodge, Iowa. Graduated from Des Moines University of Osteopathic Medicine and Health Sciences in 2025, 1 year ago. Practices with Trinity Regional Medical Center, a 172-clinician group and accepts Medicare assignment. Licensed in Iowa.

Years since qualifying
1
Trained at
Des Moines University of Osteopathic Medicine and Health Sciences
Licensed in
IA
In the registry since
2025
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

802 Kenyon Rd
Fort Dodge, IA 50501-5740
Phone: (515) 573-3101
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 134822 (IA)

Record details

NPI number1669276218
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedApril 2, 2025
Last updated in NPPESJanuary 26, 2026
Certification dateJanuary 26, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolDES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Graduated 2025 (1 years in practice)
Group practice Trinity Regional Medical Center — 172 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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