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LISA MACK MD
NPI 1366982852
Emergency Medicine in Fort Belvoir, VA

Active since March 02, 2017PECOS Enrolled
9300 DEWITT LOOP, FORT BELVOIR, VA 22060(571) 231-3162 Get Directions Write a Review

NPPES record last updated: July 10, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 10, 2024, Mar 2, 2017 (2 updates tracked since 2017).

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

NPI1366982852
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameLISA MACKCredential: MD
Location Address9300 DEWITT LOOPFort Belvoir, VA 22060-5285
Mailing Address9300 Dewitt LoopFort Belvoir, VA 22060-5285
Phone(571) 231-3162
Sole ProprietorNo
Medical School CMSColumbia University College Of Physicians And SurgeonsGraduated 2017
Enumeration DateMarch 2, 2017
Last NPPES UpdateJuly 10, 20242 updates tracked since enumeration
NPPES CertifiedJuly 10, 2024
✔ NPI 1366982852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in VA · 0101270275
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
9300 DEWITT LOOP, Fort Belvoir, VA 22060
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lisa Mack Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID840774311
PECOS Enrollment IDI20260323002383
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.

Virginia Hospital Center

Acute Care Hospitals · Arlington, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490050
Location1701 North George Mason DriveArlington, VA 22205 · Arlington County
Emergency services Birthing friendly

Physician 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.

New Patient
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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 20

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

DR. ASHLEY L MALTEZ-LAURIENTI PSY.D.
Counselor (Mental Health)
9300 DEWITT LOOP
FORT BELVOIR, VA 22060
Fairfax County (712) 313-2245
MEGAN ANNE KELLY COTA
Occupational Therapy Assistant
9300 DEWITT LOOP
FT BELVOIR, VA 22060
Fairfax County (571) 231-1321
MS. SHANNON NOELLE FULCROD LCSW, CSAC, MAC
Social Worker (Clinical)
9300 DEWITT LOOP
FORT BELVOIR, VA 22060
Fairfax County (571) 231-1200
CALE WRIGHT PSYD
Psychologist (Clinical Child & Adolescent)
9300 DEWITT LOOP
FORT BELVOIR, VA 22060
Fairfax County (571) 231-0524
SPENCER OSBOURN
Psychiatry & Neurology (Neurology)
9300 DEWITT LOOP
FORT BELVOIR, VA 22060
Fairfax County (571) 231-2966
HEATHER R BARAL
Social Worker (Clinical)
9300 DEWITT LOOP
FORT BELVOIR, VA 22060
Fairfax County (571) 231-3224
UMAR KHAN
Orthopaedic Surgery
9300 DEWITT LOOP
FORT BELVOIR, VA 22060
Fairfax County (571) 231-3224
DAVID PITTS JR. DO
General Practice
9300 DEWITT LOOP
FORT BELVOIR, VA 22060
Fairfax County (571) 231-1803

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 enrollment system.

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.