ANNIKA SIMONE MACK DNP, FNP-BC
NPI 1396485520
Nurse Practitioner - Family in Tucson, AZ

Q: What is Annika Mack's NPI number?

The NPI number for Annika Mack is 1396485520. It was assigned to this individual provider in the NPPES registry on March 29, 2022.

Q: What is Annika Mack's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Annika Mack was last updated on February 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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 March 29, 2022PECOS EnrolledAccepts Medicare Assignment

3655 E GRANT RD, TUCSON, AZ 85716(520) 670-3909(520) 309-2560 Get Directions Write a Review

NPPES record last updated: February 28, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 28, 2025, Feb 17, 2025, Jul 27, 2023 and 1 more (4 updates tracked since 2023).

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About Annika Simone Mack Dnp, Fnp-bc NPPES

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

ANNIKA SIMONE MACK DNP, FNP-BC (NPI 1396485520) is an individual family provider in Tucson, Arizona, licensed in Arizona (288126) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1396485520

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameANNIKA SIMONE MACKCredential: DNP, FNP-BC

Location Address3655 E GRANT RDTucson, AZ 85716-2933

Mailing Address839 W Congress StTucson, AZ 85745-2819 · (520) 670-3909 · Fax (520) 309-2560

Phone(520) 670-3909

Fax(520) 309-2560

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateMarch 29, 2022

Last NPPES UpdateFebruary 28, 20254 updates tracked since enumeration

NPPES CertifiedFebruary 28, 2025

✔ NPI 1396485520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in AZ · 288126

Also ListedRegistered Nurse · Critical Care MedicineTaxonomy 163WC0200X · License 22115464 (AZ)

3655 E GRANT RD, Tucson, AZ 85716

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Antidote Health Plan of Arizona, Inc. and more.Insurance ›

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

Annika Simone Mack Dnp, Fnp-bc 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.

PECOS PAC ID42662884

PECOS Enrollment IDI20240117003903

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

El Rio Santa Cruz Neighborhood Health Center, Inc

Same address

Federally Qualified Health Center (FQHC)

3655 E GRANT RD
Tucson, AZ 85716

Reassigned Medicare billing, Arizona enrollment
464 clinicians in this Medicare group

NPI 1477204485 (520) 670-3090

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 85716 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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.

REBECCA SANORA-PAREDES NP

Nurse Practitioner (Family)