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

Mark L Mansfield, MD

Individual provider Family Medicine Physician · NPI 1134113251

Mark L Mansfield, MD is a Family Practice in Pocatello, Idaho. Graduated from University of Nevada School of Medicine in 1994, 32 years ago. Practices with Primary Care Specialists PA, a 5-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Idaho.

Years since qualifying
32
Trained at
University of Nevada School of Medicine
Licensed in
ID
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

110 Vista Dr
Pocatello, ID 83201-5824
Phone: (208) 234-2300
Fax: (208) 234-0026
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence M-6799 (ID)

Record details

NPI number1134113251
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedSeptember 2, 2005
Last updated in NPPESJanuary 7, 2014
Mailing address110 Vista Dr, Pocatello, ID 83201-5824

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF NEVADA SCHOOL OF MEDICINE
Graduated 1994 (32 years in practice)
Group practice Primary Care Specialists Pa — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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