JENNY M.S. MACK AGNP
NPI 1033864152
Nurse Practitioner - Adult Health in Queensbury, NY
About Jenny M.s. Mack Agnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JENNY M.S. MACK AGNP (NPI 1033864152) is an individual adult health provider in Queensbury, New York, licensed in New York (310673) and active in the NPI registry since February 2022. She is enrolled in Medicare PECOS, is affiliated with Albany Medical Center Hospital, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jenny M.s. Mack Agnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Albany Medical Center Hospital
Acute Care Hospitals · Albany, NYGlens Falls Hospital
Acute Care Hospitals · Glens Falls, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 12804 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jenny Mack's NPI number?
The NPI number for Jenny Mack is 1033864152. It was assigned to this individual provider in the NPPES registry on February 17, 2022. The provider is also known as Jenny M Sanford.
Where is Jenny Mack located?
Jenny Mack practices at 161 Carey Rd, Queensbury, NY 12804. The listed phone number is (518) 824-8610.
What is Jenny Mack's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Jenny Mack enrolled in Medicare?
Yes. Jenny Mack is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Is Jenny Mack affiliated with any hospitals?
According to CMS data, Jenny Mack is affiliated with Albany Medical Center Hospital and Glens Falls Hospital.
When was this NPI record last updated?
The NPPES record for Jenny Mack was last updated on March 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Jenny M.s. Mack, AGNP · NPI 1033864152
Adult Health physician in Queensbury, New York. Individual provider, active in the CMS NPPES registry since February 17, 2022.
## Identity
- **NPI:** 1033864152 (Entity type: Individual)
- **Enumerated:** February 17, 2022
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** 310673 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 161 CAREY RD, Queensbury, NY 12804-7821
- **Phone:** (518) 824-8610 · **Fax:** (518) 824-2390
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** March 30, 2026
- **Other identifiers:** Medicaid 07090760 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1033864152) · Data from the CMS NPPES public registry.