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MR. TIMOTHY A MACK APRN
NPI 1104470590
Nurse Practitioner - Family in Leander, TX

Active since July 24, 2019PECOS Enrolled
3725 N LAKELINE BLVD STE C, LEANDER, TX 78641(281) 783-8162 Get Directions Write a Review

NPPES record last updated: December 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 21, 2022, Oct 20, 2021, Aug 28, 2019 and 1 more (4 updates tracked since 2019).

About Mr. Timothy A Mack Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. TIMOTHY A MACK APRN (NPI 1104470590) is an individual family provider in Leander, Texas, licensed in Texas (AP142417) and active in the NPI registry since July 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104470590
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. TIMOTHY A MACKCredential: APRN
Location Address3725 N LAKELINE BLVD STE CLeander, TX 78641-5354
Mailing Address5718 Westheimer Rd Ste 1800Houston, TX 77057-5773 · (281) 783-8162
Phone(281) 783-8162
Sole ProprietorNo
Enumeration DateJuly 24, 2019
Last NPPES UpdateDecember 21, 20224 updates tracked since enumeration
NPPES CertifiedDecember 21, 2022
✔ NPI 1104470590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · AP142417
3725 N LAKELINE BLVD STE C, Leander, TX 78641
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Timothy A Mack Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78641 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NLUC PLLC
Clinic/Center (Urgent Care)
3725 N LAKELINE BLVD STE C
LEANDER, TX 78641
Williamson County (281) 783-8162
CANDICE HESSEL FNP-C
Nurse Practitioner
3725 N LAKELINE BLVD STE C
LEANDER, TX 78641
Williamson County (281) 783-8162
LYDIA ASHLEY CORTEZ NP
Nurse Practitioner
3725 N LAKELINE BLVD STE C
LEANDER, TX 78641
Williamson County (281) 783-8162

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 Timothy Mack's NPI number?

The NPI number for Timothy Mack is 1104470590. It was assigned to this individual provider in the NPPES registry on July 24, 2019.

Where is Timothy Mack located?

Timothy Mack practices at 3725 N Lakeline Blvd Ste C, Leander, TX 78641. The listed phone number is (281) 783-8162.

What is Timothy Mack's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Timothy Mack enrolled in Medicare?

Yes. Timothy Mack is registered in the Medicare PECOS enrollment system.

What insurance does Timothy Mack accept?

Health plans from Blue Cross and Blue Shield of Texas list Timothy 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 Timothy Mack was last updated on December 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.