NICCOLE J MACK D.P.T.
NPI 1063401503
Physical Therapist in Watertown, SD
About Niccole J Mack D.p.t. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICCOLE J MACK D.P.T. (NPI 1063401503) is an individual physical therapist in Watertown, South Dakota, licensed in South Dakota (1225) and active in the NPI registry since October 2005. She is a graduate of Other (2003).
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Other Names 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Niccole J Mack D.p.t. 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.
Medicare Billing Reassignments
2Medicare enrollment records show Niccole Mack reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Watertown, SD 57201
- Reassigned Medicare billing, South Dakota enrollment
- 826 clinicians in this Medicare group
Lake Norden, SD 57248
- Reassigned Medicare billing, South Dakota enrollment
- 1,097 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 57201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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 Niccole Mack's NPI number?
The NPI number for Niccole Mack is 1063401503. It was assigned to this individual provider in the NPPES registry on October 18, 2005. The provider is also known as Niccole J Riddle D.P.T..
Where is Niccole Mack located?
Niccole Mack practices at 901 4th St NW, Watertown, SD 57201. The listed phone number is (605) 886-8471.
What is Niccole Mack's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Niccole Mack enrolled in Medicare?
Yes. Niccole 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.
Which organizations bill Medicare for Niccole Mack's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Niccole Mack reassigns Medicare benefits to 2 organizations: Sanford Clinic (Watertown, SD) and Sanford Medical Center (Lake Norden, SD). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Niccole Mack's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Niccole Mack accept?
Health plans from Sanford Health Plan, Security Health Plan and Wellmark of South Dakota, Inc. list Niccole Mack as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Niccole Mack was last updated on November 5, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.