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KATHY MACNAK MSN, FNP
NPI 1437120128
Nurse Practitioner - Family in Tomball, TX

Active since January 30, 2006PECOS EnrolledAccepts Medicare Assignment
888 GRAHAM DR, STE 100, TOMBALL, TX 77375(574) 253-1728(832) 559-8514 Get Directions Write a Review

NPPES record last updated: August 7, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kathy Macnak Msn, Fnp NPPES

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

KATHY MACNAK MSN, FNP (NPI 1437120128) is an individual family provider in Tomball, Texas, licensed in Texas (762268) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1437120128
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKATHY MACNAKCredential: MSN, FNP
Location Address888 GRAHAM DR, STE 100Tomball, TX 77375-3322
Mailing AddressPo Box 1531Tomball, TX 77377-1531 · (574) 253-1728 · Fax (832) 559-8514
Phone(574) 253-1728
Fax(832) 559-8514
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateJanuary 30, 2006
Last NPPES UpdateAugust 7, 2014
✔ NPI 1437120128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · 762268
888 GRAHAM DR, Tomball, TX 77375
Open in Google Maps ↗

Other Identifiers 5

Medicaid282500206TX
Medicare PIN453220P
Other883N93TX · Bcbs
Medicare PINTXB161410TX
OtherP01092354TX · Railroad Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.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

Kathy Macnak Msn, Fnp 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 ID2769474220
PECOS Enrollment IDI20090210000118
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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
249 services62 patients
Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
193 services57 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
28 services28 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
19 services13 patients
Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes 99345
A new patient home visit is a comprehensive 75-minute appointment conducted at your home. The healthcare professional will assess your health, discuss any concerns, and create a personalized care plan. It's convenient, comfortable, and tailored to your specific needs.
18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77375 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tracheal suction catheter, any type other than closed system, each A4624
DME-Other DME · category DE000N
1 supplier12 claims1,080 services$2.55 avg. paid by Medicare
Canister, disposable, used with suction pump, each A7000
DME-Other DME · category DE000N
1 supplier12 claims48 services$7.14 avg. paid by Medicare
Large volume nebulizer, disposable, unfilled, used with aerosol compressor A7007
DME-Other DME · category DE000N
1 supplier12 claims24 services$2.14 avg. paid by Medicare
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims341 services$4.17 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$13.12 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$61.41 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

RICHARD ANDRES PEDROZA M.D.
Family Medicine
888 GRAHAM DR
TOMBALL, TX 77375
Harris County (832) 684-3909
AGP FAMILY HEALTH CLINIC CORP
Family Medicine
888 GRAHAM DR
TOMBALL, TX 77375
Harris County (832) 684-3909
M O D & ASSOCIATES INC
Nurse Practitioner (Family)
888 GRAHAM DR, STE 100
TOMBALL, TX 77375
Harris County (574) 253-1728

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 Kathy Macnak's NPI number?

The NPI number for Kathy Macnak is 1437120128. It was assigned to this individual provider in the NPPES registry on January 30, 2006.

Where is Kathy Macnak located?

Kathy Macnak practices at 888 Graham Dr Ste 100, Tomball, TX 77375. The listed phone number is (574) 253-1728.

What is Kathy Macnak's specialty?

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

Is Kathy Macnak enrolled in Medicare?

Yes. Kathy Macnak 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 Kathy Macnak accept?

Health plans from Blue Cross and Blue Shield of Texas list Kathy Macnak 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 Kathy Macnak was last updated on August 7, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.