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

Mark Westholder

Individual provider Family Medicine Physician · NPI 1023095775

Mark Westholder is a Family Practice in Shakopee, Minnesota. Graduated from University of Minnesota Medical School in 1997, 29 years ago. Practices with Park Nicollet Clinic, a 1,773-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
29
Trained at
University of Minnesota Medical School
Licensed in
MN
In the registry since
2005

Practice location Address checks out

1415 Saint Francis Ave
Shakopee, MN 55379-3374
Phone: (952) 993-7800
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 40836 (MN)

Record details

NPI number1023095775
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 23, 2005
Last updated in NPPESMarch 8, 2012
Mailing address3800 Park Nicollet Blvd, Credentialing, Minneapolis, MN 55416-2527

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated 1997 (29 years in practice)
Group practice Park Nicollet Clinic — 1773 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Shakopee