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

Mr. Mark R Mencel, PA-C

Individual provider Physician Assistant · NPI 1417257908

Mr. Mark R Mencel, PA-C is a Physician Assistant in Kenai, Alaska. Qualified in 2012, 14 years ago. Practices with Southeast Alaska Regional Health Consortium, a 368-clinician group and accepts Medicare assignment. Licensed in Montana and New Mexico.

Years since qualifying
14
Licensed in
MT, NM
In the registry since
2010
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

416 Frontage Rd Ste 400
Kenai, AK 99611-7770
Phone: (877) 522-1275
Fax: (833) 888-7145
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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 MED-PAC-LIC-27456 (MT)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA2012-0061 (NM)

Record details

NPI number1417257908
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 29, 2010
Last updated in NPPESNovember 18, 2024
Certification dateNovember 18, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Southeast Alaska Regional Health Consortium — 368 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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