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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

KIMBERLEE MACK PA-C
NPI 1396284592
Physician Assistant in Fort Cavazos, TX

Active since February 21, 2017PECOS Enrolled
590 MEDICAL CENTER ROAD, FORT CAVAZOS, TX 76544(915) 591-2704(915) 225-0413 Get Directions Write a Review

NPPES record last updated: July 24, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 24, 2026, Oct 17, 2017, Feb 21, 2017 (3 updates tracked since 2017).

About Kimberlee Mack Pa-c NPPES

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

KIMBERLEE MACK PA-C (NPI 1396284592) is an individual physician assistant in Fort Cavazos, Texas, licensed in Texas (PA11188) and active in the NPI registry since February 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396284592
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKIMBERLEE MACKCredential: PA-C
Location Address590 MEDICAL CENTER ROADFort Cavazos, TX 76544
Mailing Address36000 Darnall LoopFort Hood, TX 76544-5095
Phone(915) 591-2704
Fax(915) 225-0413
Sole ProprietorYes
Enumeration DateFebruary 21, 2017
Last NPPES UpdateJuly 24, 20263 updates tracked since enumeration
NPPES CertifiedJuly 24, 2026
✔ NPI 1396284592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in TX · PA11188
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
590 MEDICAL CENTER ROAD, Fort Cavazos, TX 76544
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberlee Mack Pa-c 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 76544 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
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
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.

SUSAN GAIL CLAPP CNM
Advanced Practice Midwife
590 MEDICAL CENTER ROAD
FORT CAVAZOS, TX 76544
Bell County (254) 288-8017
DELFINA ALEXANDER FNP-C
Nurse Practitioner (Family)
590 MEDICAL CENTER ROAD
APO, AA 76544
Bell County (254) 553-0920
DR. HENRY STEWARD HALTIWANGER DPT
Physical Therapist
590 MEDICAL CENTER ROAD
FORT HOOD, TX 76544
Bell County (254) 288-8888
MRS. MARYCRIS MEDINA SAMPAYAN P.T.
Physical Therapist
590 MEDICAL CENTER ROAD
FORT HOOD, TX 76544
Bell County (254) 288-1054
JOSE NUNEZ LCSW
Social Worker (Clinical)
590 MEDICAL CENTER ROAD
FORT CAVAZOS, TX 76544
Bell County (254) 402-9955
MS. VIVIAN SHENEL WALKER LCSW
Social Worker (Clinical)
590 MEDICAL CENTER ROAD
FORT CAVAZOS, TX 76544
Bell County (254) 287-7914
CHRISTINA NANETTE KEITH
Nurse Practitioner (Family)
590 MEDICAL CENTER ROAD
FORT CAVASOS, TX 76544
Bell County (254) 553-6008
DR. LUIS FERNANDEZ PHD
Psychologist (Clinical)
590 MEDICAL CENTER ROAD
FORT HOOD, TX 76544
Bell County (254) 553-3623

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 Kimberlee Mack's NPI number?

The NPI number for Kimberlee Mack is 1396284592. It was assigned to this individual provider in the NPPES registry on February 21, 2017.

Where is Kimberlee Mack located?

Kimberlee Mack practices at 590 Medical Center Road, Fort Cavazos, TX 76544. The listed phone number is (915) 591-2704.

What is Kimberlee Mack's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kimberlee Mack enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kimberlee Mack was last updated on July 24, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.