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MRS. TARYN ATALYA MACK DNP
NPI 1457240301
Nurse Practitioner - Adult Health in Pueblo, CO

Active since July 02, 2025PECOS Enrolled
900 INDIANA AVE STE C, PUEBLO, CO 81004(719) 568-8661 Get Directions Write a Review

NPPES record last updated: September 8, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 8, 2025, Jul 2, 2025 (2 updates tracked since 2025).

About Mrs. Taryn Atalya Mack Dnp NPPES

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

MRS. TARYN ATALYA MACK DNP (NPI 1457240301) is an individual adult health provider in Pueblo, Colorado, licensed in Colorado (1679998) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1457240301
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMRS. TARYN ATALYA MACKCredential: DNP
Location Address900 INDIANA AVE STE CPueblo, CO 81004-3767
Mailing Address3120 Pony Tracks DrColorado Springs, CO 80922-1402 · (402) 650-6498
Phone(719) 568-8661
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateJuly 2, 2025
Last NPPES UpdateSeptember 8, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2025
✔ NPI 1457240301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in CO · 1679998
900 INDIANA AVE STE C, Pueblo, CO 81004
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Other Names 1

Former Name (1)Mrs. Taryn Atalya Buechler Dnp

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Taryn Atalya Mack Dnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7416450846
PECOS Enrollment IDI20250911003835
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 81004 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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 2

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

SOUTHERN COLORADO DERMATOLOGY CLINIC PC
Dermatology
900 INDIANA AVE STE C
PUEBLO, CO 81004
Pueblo County (719) 564-5544
WILLIAM STORMS ALLERGY CLINIC PC
Allergy & Immunology (Allergy)
900 INDIANA AVE STE C
PUEBLO, CO 81004
Pueblo County (719) 955-6000

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 Taryn Mack's NPI number?

The NPI number for Taryn Mack is 1457240301. It was assigned to this individual provider in the NPPES registry on July 2, 2025. The provider is also known as Mrs. Taryn Atalya Buechler Dnp.

Where is Taryn Mack located?

Taryn Mack practices at 900 Indiana Ave Ste C, Pueblo, CO 81004. The listed phone number is (719) 568-8661.

What is Taryn Mack's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Taryn Mack enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Taryn Mack was last updated on September 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.