ANNA MARIE MACK FNP-C
NPI 1366057424
Nurse Practitioner - Family in Colorado Springs, CO
About Anna Marie Mack Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANNA MARIE MACK FNP-C (NPI 1366057424) is an individual family provider in Colorado Springs, Colorado, licensed in Colorado (0995856) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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
Anna Marie 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.
Medicare Billing Reassignment
Medicare enrollment records show Anna Mack reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Colorado Springs, CO 80917
- Reassigned Medicare billing, Colorado enrollment
- 355 clinicians in this Medicare group
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 80910 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
COLORADO SPRINGS, CO 80910
COLORADO SPRINGS, CO 80910
COLORADO SPRINGS, CO 80910
COLORADO SPRINGS, CO 80910
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 Anna Mack's NPI number?
The NPI number for Anna Mack is 1366057424. It was assigned to this individual provider in the NPPES registry on September 14, 2020. The provider is also known as Anna Marie Coleman Otte Np-C.
Where is Anna Mack located?
Anna Mack practices at 225 S Union Blvd, Colorado Springs, CO 80910. The listed phone number is (719) 632-5700.
What is Anna Mack's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Anna Mack enrolled in Medicare?
Yes. Anna 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.
Which organization bills Medicare for Anna Mack's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Anna Mack reassigns Medicare benefits to Peak Vista Community Health Centers (Colorado Springs, CO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Anna Mack's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Anna Mack was last updated on October 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Anna Marie Mack, FNP-C · NPI 1366057424
Family physician in Colorado Springs, Colorado. Individual provider, active in the CMS NPPES registry since September 14, 2020.
## Identity
- **NPI:** 1366057424 (Entity type: Individual)
- **Enumerated:** September 14, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 0995856 (Colorado)
- **Sole proprietor:** No
## Practice location
- **Address:** 225 S UNION BLVD, Colorado Springs, CO 80910-3184
- **Phone:** (719) 632-5700
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Peak Vista Community Health Centers (NPI 1730166034, Colorado Springs, CO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** October 5, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1366057424) · Data from the CMS NPPES public registry.