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KATHLEEN ANN MACK ARNP
NPI 1326211624
Nurse Practitioner - Family in Emmett, ID

Active since April 08, 2008PECOS Enrolled
1006 VANDERDASSON RD, EMMETT, ID 83617(208) 944-1537(208) 944-6067 Get Directions Write a Review

NPPES record last updated: February 20, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kathleen Ann Mack Arnp NPPES

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

KATHLEEN ANN MACK ARNP (NPI 1326211624) is an individual family provider in Emmett, Idaho, licensed in Idaho (73858) and active in the NPI registry since April 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1326211624
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKATHLEEN ANN MACKCredential: ARNP
Location Address1006 VANDERDASSON RDEmmett, ID 83617-8880
Mailing Address1006 Vanderdasson RdEmmett, ID 83617-8880 · (208) 944-1537 · Fax (208) 944-6067
Phone(208) 944-1537
Fax(208) 944-6067
Sole ProprietorNo
Enumeration DateApril 8, 2008
Last NPPES UpdateFebruary 20, 2024
NPPES CertifiedFebruary 20, 2024
✔ NPI 1326211624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in ID · 73858✔ Licensed in UT · 8636044-4405
Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License RN00106768 (WA)
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License AP30008033 (WA)
1006 VANDERDASSON RD, Emmett, ID 83617
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Providence 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 (PECOS)

Kathleen Ann Mack Arnp 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 83617 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
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

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

SLOAN PSYCHIATRIC CARE PLLC
Nurse Practitioner (Family)
1006 VANDERDASSON RD
EMMETT, ID 83617
Gem County (509) 731-5662

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 Kathleen Mack's NPI number?

The NPI number for Kathleen Mack is 1326211624. It was assigned to this individual provider in the NPPES registry on April 8, 2008.

Where is Kathleen Mack located?

Kathleen Mack practices at 1006 Vanderdasson Rd, Emmett, ID 83617. The listed phone number is (208) 944-1537.

What is Kathleen Mack's specialty?

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

Is Kathleen Mack enrolled in Medicare?

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

What insurance does Kathleen Mack accept?

Health plans from Moda Health Plan, Inc. and Providence Health Plan list Kathleen 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 Kathleen Mack was last updated on February 20, 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.