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MRS. ALICIA MAE MACK FNP-C
NPI 1225523004
Nurse Practitioner - Family in Grand Forks, ND

Active since June 25, 2018PECOS EnrolledAccepts Medicare Assignment
212 S. 4TH ST. SUITE 301, SPECTRA HEALTH, GRAND FORKS, ND 58201(701) 757-2100(701) 757-2813 Get Directions Write a Review

NPPES record last updated: February 24, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 24, 2020, Jun 25, 2018 (2 updates tracked since 2018).

About Mrs. Alicia Mae Mack Fnp-c NPPES

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

MRS. ALICIA MAE MACK FNP-C (NPI 1225523004) is an individual family provider in Grand Forks, North Dakota, licensed in North Dakota (R39910) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS, is affiliated with Altru Hospital, and maintains a secondary practice location in Larimore.

NPPES Registry Identity

NPI1225523004
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. ALICIA MAE MACKCredential: FNP-C
Location Address212 S. 4TH ST. SUITE 301, SPECTRA HEALTHGrand Forks, ND 58201
Mailing Address212 S. 4th St. Suite 301, Spectra HealthGrand Forks, ND 58201 · (701) 757-2100 · Fax (701) 757-2813
Phone(701) 757-2100
Fax(701) 757-2813
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJune 25, 2018
Last NPPES UpdateFebruary 24, 20202 updates tracked since enumeration
✔ NPI 1225523004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in ND · R39910
Also ListedRegistered NurseTaxonomy 163W00000X · License 2344340 (MN), R39910 (ND)
212 S. 4TH ST. SUITE 301, Grand Forks, ND 58201
Open in Google Maps ↗

Other Names 1

Former Name (1)Miss Alicia Mae Erickson Fnp-c

Secondary Practice Location 1

Location 1607 Towner AveLarimore, ND 58251-4501 · Phone (701) 318-9399

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Medica, Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Alicia Mae Mack Fnp-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 ID5698012698
PECOS Enrollment IDI20190129003242
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.

Hospital Affiliations CMS Care Compare

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

Altru Hospital

Acute Care Hospitals · Grand Forks, ND
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number350019
Location1200 S Columbia RdGrand Forks, ND 58201 · Grand Forks County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58201 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
$85.71 typical visit price
range $55.75 – $168.12
Typical copayment $21.42 (range $13.93 – $42.03)
Most-billed visit code 99203
Established Patient
$98.29 typical visit price
range $18.11 – $137.65
Typical copayment $24.57 (range $4.52 – $34.41)
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.

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 Alicia Mack's NPI number?

The NPI number for Alicia Mack is 1225523004. It was assigned to this individual provider in the NPPES registry on June 25, 2018. The provider is also known as Miss Alicia Mae Erickson Fnp-C.

Where is Alicia Mack located?

Alicia Mack practices at 212 S. 4th St. Suite 301 Spectra Health, Grand Forks, ND 58201. The listed phone number is (701) 757-2100.

What is Alicia Mack's specialty?

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

Is Alicia Mack enrolled in Medicare?

Yes. Alicia 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.

What insurance does Alicia Mack accept?

Health plans from Blue Cross Blue Shield of North Dakota, Medica and Sanford Health Plan list Alicia 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.

Is Alicia Mack affiliated with any hospitals?

According to CMS data, Alicia Mack is affiliated with Altru Hospital.

When was this NPI record last updated?

The NPPES record for Alicia Mack was last updated on February 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.