AMY MACK APRN
NPI 1518830587
Nurse Practitioner - Gerontology in Leesburg, FL

Q: What is Amy Mack's NPI number?

The NPI number for Amy Mack is 1518830587. It was assigned to this individual provider in the NPPES registry on September 25, 2025.

Q: What is Amy Mack's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Amy Mack was last updated on October 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since September 25, 2025PECOS Enrolled

822 PERKINS ST, LEESBURG, FL 34748(352) 315-4111(352) 315-4112 Get Directions Write a Review

NPPES record last updated: October 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Amy Mack Aprn NPPES

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

AMY MACK APRN (NPI 1518830587) is an individual gerontology provider in Leesburg, Florida, licensed in Florida (11042282) and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1518830587

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameAMY MACKCredential: APRN

Location Address822 PERKINS STLeesburg, FL 34748-4350

Mailing Address10900 Se 174th Place RdSummerfield, FL 34491-8984 · (352) 245-7427 · Fax (352) 245-2387

Phone(352) 315-4111

Fax(352) 315-4112

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateSeptember 25, 2025

Last NPPES UpdateOctober 7, 2025

NPPES CertifiedOctober 7, 2025

✔ NPI 1518830587 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in FL · 11042282

822 PERKINS ST, Leesburg, FL 34748

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amy Mack Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4284146846

PECOS Enrollment IDI20251112002573

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 34748 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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 5

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

GASTROENTEROLOGY AND NUTRITION OF CENTRAL FLORIDA LLC