ANGELIA MACK
NPI 1356812416
Nurse Practitioner in Wichita Falls, TX

Q: What is Angelia Mack's NPI number?

The NPI number for Angelia Mack is 1356812416. It was assigned to this individual provider in the NPPES registry on December 16, 2018.

Q: What is Angelia Mack's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Angelia Mack was last updated on December 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since December 16, 2018PECOS Enrolled

4600 TAFT BLVD, WICHITA FALLS, TX 76308(940) 696-1710 Get Directions Write a Review

NPPES record last updated: December 16, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Angelia Mack NPPES

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

ANGELIA MACK (NPI 1356812416) is an individual nurse practitioner in Wichita Falls, Texas, licensed in Texas (AP139916) and active in the NPI registry since December 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Wichita Falls.

NPPES Registry Identity

NPI1356812416

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameANGELIA MACK

Location Address4600 TAFT BLVDWichita Falls, TX 76308-4935

Mailing Address1403 Longview StWichita Falls, TX 76306-4648 · (210) 232-1880

Phone(940) 696-1710

Sole ProprietorNo

Enumeration DateDecember 16, 2018

✔ NPI 1356812416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in TX · AP139916

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

4600 TAFT BLVD, Wichita Falls, TX 76308

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Secondary Practice Location 1

Location 11403 Longview StWichita Falls, TX 76306-4648 · Phone (210) 232-1880

Other Identifiers 1

Medicaid00000000000000000000TX

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Dhhs Phs Naihs Crownpoint Hospital

561 mi

General Acute Care Hospital

JUNCTION OF HWY 371, NAVAJO RT9
Crownpoint, NM 87313

Reassigned Medicare billing, Texas enrollment
265 clinicians in this Medicare group

NPI 1114960093 (505) 786-5291

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 76308 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

2 suppliers16 claims17 services$28.12 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 11

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

MRS. DIANE KAY BALLINGER OTR/L

Occupational Therapist