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JAMIE LEE MACK LICSW
NPI 1104663525
Social Worker - Clinical in Mankato, MN

Active since July 12, 2024PECOS Enrolled
1600 MADISON AVE STE 110, MANKATO, MN 56001(651) 346-3266 Get Directions Write a Review

NPPES record last updated: July 12, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jamie Lee Mack Licsw NPPES

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

JAMIE LEE MACK LICSW (NPI 1104663525) is an individual clinical provider in Mankato, Minnesota, licensed in Minnesota (23072) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104663525
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJAMIE LEE MACKCredential: LICSW
Location Address1600 MADISON AVE STE 110Mankato, MN 56001-5820
Mailing Address118 Merlin CirMankato, MN 56001-5732 · (507) 382-4322
Phone(651) 346-3266
Sole ProprietorNo
Enumeration DateJuly 12, 2024
NPPES CertifiedJuly 12, 2024
✔ NPI 1104663525 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MN · 23072
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1600 MADISON AVE STE 110, Mankato, MN 56001
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jamie Lee Mack Licsw 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.

Medicare Billing Reassignment

Medicare enrollment records show Jamie Mack reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Nystrom & Associates, Ltd
73 mi
Clinical
1900 SILVER LAKE RD NW, SUITE 110
New Brighton, MN 55112
  • Reassigned Medicare billing, Minnesota enrollment
  • 794 clinicians in this Medicare group
NPI 1396750188 (651) 628-9566

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56001 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
$0.00 typical visit price
range $56.00 – $168.28
Typical copayment $0.00 (range $14.00 – $42.07)
Most-billed visit code NA
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
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 4

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

HANNAH JO VAN OTTERLOO LGSW
Social Worker (Clinical)
1600 MADISON AVE STE 110
MANKATO, MN 56001
Blue Earth County (651) 313-8080
HANNAH REDMOND
Counselor (Mental Health)
1600 MADISON AVE STE 110
MANKATO, MN 56001
Blue Earth County (507) 320-4036
JORDAN NOELLE PAWELK PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
1600 MADISON AVE STE 110
MANKATO, MN 56001
Blue Earth County (651) 565-1363
KELLIANN KUTSCHKE
Social Worker (Clinical)
1600 MADISON AVE STE 110
MANKATO, MN 56001
Blue Earth County (612) 220-0668

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 Jamie Mack's NPI number?

The NPI number for Jamie Mack is 1104663525. It was assigned to this individual provider in the NPPES registry on July 12, 2024.

Where is Jamie Mack located?

Jamie Mack practices at 1600 Madison Ave Ste 110, Mankato, MN 56001. The listed phone number is (651) 346-3266.

What is Jamie Mack's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Jamie Mack enrolled in Medicare?

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

Which organization bills Medicare for Jamie Mack's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jamie Mack reassigns Medicare benefits to Nystrom & Associates, Ltd (New Brighton, MN). The 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 Jamie Mack's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jamie Mack accept?

Health plans from HealthPartners list Jamie 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 Jamie Mack was last updated on July 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.