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

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: August 02, 2026.

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

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
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

Accepted Insurance

Medicare Participation & PECOS CMS

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

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.

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.

Internal Medicine
3655 E GRANT RD
TUCSON, AZ 85716
Nurse Practitioner (Psychiatric/Mental Health)
3655 E GRANT RD
TUCSON, AZ 85716
Social Worker
3655 E GRANT RD
TUCSON, AZ 85716
Dentist (Oral and Maxillofacial Surgery)
3655 E GRANT RD
TUCSON, AZ 85716
Dental Hygienist
3655 E GRANT RD
TUCSON, AZ 85716
Psychiatry & Neurology (Psychiatry)
3655 E GRANT RD
TUCSON, AZ 85716
Nurse Practitioner (Psychiatric/Mental Health)
3655 E GRANT RD
TUCSON, AZ 85716
Nurse Practitioner (Family)
3655 E GRANT RD
TUCSON, AZ 85716

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 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.

Where is Annika Mack located?

Annika Mack practices at 3655 E Grant Rd, Tucson, AZ 85716. The listed phone number is (520) 670-3909.

What is Annika Mack's specialty?

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

Is Annika Mack enrolled in Medicare?

Yes. Annika 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.

What insurance does Annika Mack accept?

Health plans from Ambetter from Arizona Complete Health, Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc. and Oscar Health Plan, Inc. and 1 other insurer list Annika Mack as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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 17 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.