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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: November 01, 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.

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
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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Taryn Atalya Mack Dnp 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.

Medicare Billing Reassignment

Medicare enrollment records show Taryn Mack reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Omnicare Health Solutions, Inc.
Same address
Family Medicine
900 INDIANA AVE STE B
Pueblo, CO 81004
  • Reassigned Medicare billing, Colorado enrollment
  • 3 clinicians in this Medicare group
NPI 1528714979 (719) 568-8611

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 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 3

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

AMANDA R BROWN NP
Nurse Practitioner (Family)
900 INDIANA AVE STE C
PUEBLO, CO 81004
Pueblo County (719) 568-8611
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.

Which organization bills Medicare for Taryn Mack's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Taryn Mack reassigns Medicare benefits to Omnicare Health Solutions, Inc. (Pueblo, CO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Taryn Mack's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 14 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.