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MS. JESSICA ARIEL MACK APRN
NPI 1538897558
Nurse Practitioner - Psychiatric/Mental Health in New Haven, CT

Active since August 09, 2022PECOS EnrolledAccepts Medicare Assignment
428 COLUMBUS AVE, NEW HAVEN, CT 06519(203) 503-3000 Get Directions Write a Review

NPPES record last updated: August 9, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Ms. Jessica Ariel Mack Aprn NPPES

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

MS. JESSICA ARIEL MACK APRN (NPI 1538897558) is an individual psychiatric/mental health provider in New Haven, Connecticut, licensed in Connecticut (12.010803) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1538897558
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMS. JESSICA ARIEL MACKCredential: APRN
Location Address428 COLUMBUS AVENew Haven, CT 06519-1233
Mailing Address1904 Shepard AveHamden, CT 06518-1842 · (203) 804-0492
Phone(203) 503-3000
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 9, 2022
NPPES CertifiedAugust 9, 2022
✔ NPI 1538897558 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
License✔ Licensed in CT · 12.010803
428 COLUMBUS AVE, New Haven, CT 06519
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Ms. Jessica Ariel Mack Aprn 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.

PECOS PAC ID3678958709
PECOS Enrollment IDI20220909002663
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 Jessica Mack reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cornell Scott Hill Health Corporation
Same address
Federally Qualified Health Center (FQHC)
400-428 COLUMBUS AVENUE
New Haven, CT 06519
  • Reassigned Medicare billing, Connecticut enrollment
  • 468 clinicians in this Medicare group
NPI 1902921380 (203) 503-3000

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 06519 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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 20

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

ARTI BARNES MD, MBBS, MPH
Internal Medicine (Infectious Disease)
428 COLUMBUS AVE
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 503-3000
MRS. ROCCA L PERRUCCIO FNP
Nurse Practitioner (Family)
428 COLUMBUS AVE
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 503-3000
OLUREMI ALIYU
Internal Medicine
428 COLUMBUS AVE
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 503-3250
MRS. PAMELA ANN RULE FNP-BC
Nurse Practitioner (Family)
428 COLUMBUS AVE
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 503-3250
HANNAH ROSE RICHELIEU PA-C
Physician Assistant
428 COLUMBUS AVE
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 503-3000
CHAPMAN ELIZABETH DEATON DMD
Dentist
428 COLUMBUS AVE
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 503-3000
TUSHEMIA ROBERTS RN
Registered Nurse
428 COLUMBUS AVE
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 503-3284
DR. ALICIA EMENY INGALLS PITTARD M.D.
Pediatrics
428 COLUMBUS AVE
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 503-3030

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 Jessica Mack's NPI number?

The NPI number for Jessica Mack is 1538897558. It was assigned to this individual provider in the NPPES registry on August 9, 2022.

Where is Jessica Mack located?

Jessica Mack practices at 428 Columbus Ave, New Haven, CT 06519. The listed phone number is (203) 503-3000.

What is Jessica Mack's specialty?

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

Is Jessica Mack enrolled in Medicare?

Yes. Jessica 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 Jessica Mack's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Mack reassigns Medicare benefits to Cornell Scott Hill Health Corporation (New Haven, CT). 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 Jessica Mack's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jessica Mack accept?

Health plans from Anthem Blue Cross and Blue Shield list Jessica 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.

When was this NPI record last updated?

The NPPES record for Jessica Mack was last updated on August 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.