PACCK HEALTH CARE INC
NPI 1477362010
Nurse Practitioner - Psychiatric/Mental Health in Topeka, KS

Active since January 07, 2025
2611 SW 17TH ST, TOPEKA, KS 66604(785) 383-7473 Get Directions Write a Review

NPPES record last updated: January 7, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Pacck Health Care Inc NPPES

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

PACCK HEALTH CARE INC (NPI 1477362010) is a healthcare organization registered as a psychiatric/mental health in Topeka, Kansas and active in the NPI registry since January 2025. The organization lists Priscilla Atu-tetuh, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1477362010
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NamePACCK HEALTH CARE INC
Location Address2611 SW 17TH STTopeka, KS 66604-2603
Mailing Address2611 Sw 17th StTopeka, KS 66604-2603
Organization SubpartNo
Authorized OfficialPriscilla Atu-tetuhCo-owner · (785) 383-7473
Enumeration DateJanuary 7, 2025
NPPES CertifiedJanuary 7, 2025
✔ NPI 1477362010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
2611 SW 17TH ST, Topeka, KS 66604

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pacck Health Care Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Pacck Health Care Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1740809755
300 W 19TH TER
Kansas City, MO 64108
(816) 404-6402
✔ PECOS60 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Pacck Health Care Inc's NPI number?

The NPI number for Pacck Health Care Inc is 1477362010. It was assigned to this organization in the NPPES registry on January 7, 2025.

Where is Pacck Health Care Inc located?

Pacck Health Care Inc is located at 2611 SW 17th St, Topeka, KS 66604. The listed phone number is (785) 383-7473.

What is Pacck Health Care Inc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Pacck Health Care Inc enrolled in Medicare?

Yes. Pacck Health Care Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pacck Health Care Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Pacck Health Care Inc. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Pacck Health Care Inc accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. list Pacck Health Care Inc 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 Pacck Health Care Inc was last updated on January 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.