SHANNON MARIE MACK DNP, ARNP
NPI 1528890464
Nurse Practitioner - Family in Seattle, WA
About Shannon Marie Mack Dnp, Arnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHANNON MARIE MACK DNP, ARNP (NPI 1528890464) is an individual family provider in Seattle, Washington, licensed in Washington (AP61598741) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS, is affiliated with Tacoma General Allenmore Hospital, and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Shannon Marie Mack Dnp, Arnp 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.
Medicare Billing Reassignment
Medicare enrollment records show Shannon Mack reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Kent, WA 98030
- Reassigned Medicare billing, Washington enrollment
- 4,383 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Tacoma General Allenmore Hospital
Acute Care Hospitals · Tacoma, WAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98195 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SEATTLE, WA 98195
SEATTLE, WA 98195
SEATTLE, WA 98195
SEATTLE, WA 98195
SEATTLE, WA 98195
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 Shannon Mack's NPI number?
The NPI number for Shannon Mack is 1528890464. It was assigned to this individual provider in the NPPES registry on August 19, 2024.
Where is Shannon Mack located?
Shannon Mack practices at 1959 NE Pacific St, Seattle, WA 98195. The listed phone number is (206) 520-5000.
What is Shannon Mack's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Shannon Mack enrolled in Medicare?
Yes. Shannon Mack 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.
Which organization bills Medicare for Shannon Mack's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Mack reassigns Medicare benefits to Multicare Health System (Kent, WA). 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 Shannon Mack's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shannon Mack accept?
Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Shannon Mack 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.
Is Shannon Mack affiliated with any hospitals?
According to CMS data, Shannon Mack is affiliated with Tacoma General Allenmore Hospital.
When was this NPI record last updated?
The NPPES record for Shannon Mack was last updated on August 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Shannon Marie Mack, DNP, ARNP · NPI 1528890464
Family physician in Seattle, Washington. Individual provider, active in the CMS NPPES registry since August 19, 2024.
## Identity
- **NPI:** 1528890464 (Entity type: Individual)
- **Enumerated:** August 19, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** AP61598741 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 1959 NE PACIFIC ST, Seattle, WA 98195-0001
- **Phone:** (206) 520-5000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Multicare Health System (NPI 1811949928, Kent, WA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** August 19, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1528890464) · Data from the CMS NPPES public registry.