MRS. LEABETH MACON PACK NP-C
NPI 1154747889
Nurse Practitioner - Family in Lebanon, TN

Q: What is Leabeth Pack's NPI number?

The NPI number for Leabeth Pack is 1154747889. It was assigned to this individual provider in the NPPES registry on March 5, 2014.

Q: What is Leabeth Pack's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Leabeth Pack was last updated on April 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since March 05, 2014PECOS EnrolledAccepts Medicare Assignment

201 SIGNATURE PL STE 103, LEBANON, TN 37087(615) 257-7778(615) 235-3660 Get Directions Write a Review

NPPES record last updated: April 1, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 1, 2026, Feb 21, 2017 (2 updates tracked since 2017).

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About Mrs. Leabeth Macon Pack Np-c NPPES

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

MRS. LEABETH MACON PACK NP-C (NPI 1154747889) is an individual family provider in Lebanon, Tennessee, licensed in Tennessee (18455) and active in the NPI registry since March 2014. She is enrolled in Medicare PECOS, is affiliated with Tristar Summit Medical Center, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1154747889

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. LEABETH MACON PACKCredential: NP-C

Location Address201 SIGNATURE PL STE 103Lebanon, TN 37087-3377

Mailing Address201 Signature Pl Ste 103Lebanon, TN 37087-3377 · (615) 257-7778 · Fax (615) 235-3660

Phone(615) 257-7778

Fax(615) 235-3660

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateMarch 5, 2014

Last NPPES UpdateApril 1, 20262 updates tracked since enumeration

NPPES CertifiedApril 1, 2026

✔ NPI 1154747889 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 TN · 18455

201 SIGNATURE PL STE 103, Lebanon, TN 37087

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter Health, Ambetter of Alabama and more.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

Mrs. Leabeth Macon Pack Np-c 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.

PECOS PAC ID9133425036

PECOS Enrollment IDI20170323002372

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 Leabeth Pack reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pack Family Practice PLLC

Same address

Family Medicine

201 SIGNATURE PL STE 103
Lebanon, TN 37087

Reassigned Medicare billing, Tennessee enrollment
Medicare enrollment name: Jantz Family Practice PLLC
4 clinicians in this Medicare group

NPI 1649827197 (615) 257-7778

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 7

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

58 services35 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

55 services43 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

50 services34 patients

Injection, ceftriaxone sodium, per 250 mg J0696

Ceftriaxone sodium is an antibiotic injection used to treat a variety of bacterial infections. Each injection contains 250 mg of the medicine. It works by stopping the growth of bacteria in your body.

38 services14 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

26 services26 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

16 services16 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Tristar Summit Medical Center

Acute Care Hospitals · Hermitage, TN

2/5 CMS rating

OwnershipProprietary

CMS Certification Number440150

Location5655 Frist BlvdHermitage, TN 37076 · Davidson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37087 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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 5

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

VANESSA TRAPANI SANTANA CNP

Nurse Practitioner (Family)