LISA MACK MD
NPI 1366982852
Emergency Medicine in Fort Belvoir, VA
About Lisa Mack Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LISA MACK MD (NPI 1366982852) is an individual emergency medicine provider in Fort Belvoir, Virginia, licensed in Virginia (0101270275) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, is affiliated with Virginia Hospital Center, and is a graduate of Columbia University College Of Physicians And Surgeons (2017).
NPPES Registry Identity
Specialties & Licenses
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
Lisa Mack Md 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 Reassignments
2Medicare enrollment records show Lisa Mack reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Alexandria, VA 22304
- Reassigned Medicare billing, District of Columbia enrollment
- Medicare enrollment name: Emergency Medicine Associates P.A., P.C.
- 1,150 clinicians in this Medicare group
Leesburg, VA 20176
- Reassigned Medicare billing, District of Columbia enrollment
- 134 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Virginia Hospital Center
Acute Care Hospitals · Arlington, VAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 22060 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.
FORT BELVOIR, VA 22060
FORT BELVOIR, VA 22060
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 Lisa Mack's NPI number?
The NPI number for Lisa Mack is 1366982852. It was assigned to this individual provider in the NPPES registry on March 2, 2017.
Where is Lisa Mack located?
Lisa Mack practices at 9300 Dewitt Loop, Fort Belvoir, VA 22060. The listed phone number is (571) 231-3162.
What is Lisa Mack's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Lisa Mack enrolled in Medicare?
Yes. Lisa 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 organizations bill Medicare for Lisa Mack's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Mack reassigns Medicare benefits to 2 organizations: Emergency Medicine Associates PA (Alexandria, VA) and Commonwealth Emergency Physicians PC (Leesburg, VA). Each 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 Lisa Mack's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Lisa Mack affiliated with any hospitals?
According to CMS data, Lisa Mack is affiliated with Virginia Hospital Center.
When was this NPI record last updated?
The NPPES record for Lisa Mack was last updated on July 10, 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.
# Lisa Mack, MD · NPI 1366982852
Emergency Medicine physician in Fort Belvoir, Virginia. Individual provider, active in the CMS NPPES registry since March 2, 2017.
## Identity
- **NPI:** 1366982852 (Entity type: Individual)
- **Enumerated:** March 2, 2017
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 0101270275 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 9300 DEWITT LOOP, Fort Belvoir, VA 22060-5285
- **Phone:** (571) 231-3162
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Emergency Medicine Associates PA (NPI 1932948114, Alexandria, VA); Commonwealth Emergency Physicians PC (NPI 1598723082, Leesburg, VA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Columbia University College Of Physicians And Surgeons, class of 2017
## Record status
- **NPPES last updated:** July 10, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1366982852) · Data from the CMS NPPES public registry.