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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BRIANNA NICOLE MACK PA-C
NPI 1215873930
Physician Assistant in Oklahoma City, OK

Active since April 25, 2026PECOS Enrolled
700 NE 13TH ST, OKLAHOMA CITY, OK 73104(405) 271-4700 Get Directions Write a Review

NPPES record last updated: October 7, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 7, 2026, Apr 25, 2026 (2 updates tracked since 2026).

About Brianna Nicole Mack Pa-c NPPES

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

BRIANNA NICOLE MACK PA-C (NPI 1215873930) is an individual physician assistant in Oklahoma City, Oklahoma, licensed in Oklahoma (6011) and active in the NPI registry since April 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215873930
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameBRIANNA NICOLE MACKCredential: PA-C
Location Address700 NE 13TH STOklahoma City, OK 73104-5004
Mailing Address1200 Childrens Ave Fl 11Oklahoma City, OK 73104-4637 · (405) 769-8199 · Fax (405) 271-1001
Phone(405) 271-4700
Sole ProprietorNo
Enumeration DateApril 25, 2026
Last NPPES UpdateOctober 7, 20262 updates tracked since enumeration
NPPES CertifiedOctober 7, 2026
✔ NPI 1215873930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in OK · 6011
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
700 NE 13TH ST, Oklahoma City, OK 73104
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Accepted Insurance

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

Brianna Nicole Mack Pa-c 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 73104 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
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 20

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

TRESSIE MCCOY DPT
Physical Therapist
700 NE 13TH ST
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-8000
MEDI FLIGHT OF OKLAHOMA, LLC
Ambulance (Land Transport)
700 NE 13TH ST
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-7700
JESSICA R CHAPMAN APRN
Nurse Practitioner
700 NE 13TH ST
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-5215
BREANNA BROWN APRN
Nurse Practitioner (Family)
700 NE 13TH ST
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-4700
CHRISTINA CHAPMAN
Internal Medicine
700 NE 13TH ST
OKLAHOMA CITY, OK 73104
Oklahoma County (052) 716-6514
BRADY GARRETT SORRELS DO
Student in an Organized Health Care Education/Training Program
700 NE 13TH ST
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-4351
DR. CAROLINE ELIZABETH SCHUEPBACH DNP
Nurse Practitioner (Acute Care)
700 NE 13TH ST
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-4700
ALEXANDER MUDD
Physical Therapist
700 NE 13TH ST
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-4700

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 Brianna Mack's NPI number?

The NPI number for Brianna Mack is 1215873930. It was assigned to this individual provider in the NPPES registry on April 25, 2026.

Where is Brianna Mack located?

Brianna Mack practices at 700 NE 13th St, Oklahoma City, OK 73104. The listed phone number is (405) 271-4700.

What is Brianna Mack's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Brianna Mack enrolled in Medicare?

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

What insurance does Brianna Mack accept?

Health plans from Blue Cross and Blue Shield of Oklahoma list Brianna 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 Brianna Mack was last updated on October 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days 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.