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ZELBESA VAILIIDA DAKUE MACK CRNP
NPI 1558749267
Nurse Practitioner - Adult Health in Timonium, MD

Active since May 13, 2015PECOS EnrolledAccepts Medicare Assignment
28 HADDINGTON RD, TIMONIUM, MD 21093(410) 961-0844 Get Directions Write a Review

NPPES record last updated: August 19, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Zelbesa Vailiida Dakue Mack Crnp NPPES

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

ZELBESA VAILIIDA DAKUE MACK CRNP (NPI 1558749267) is an individual adult health provider in Timonium, Maryland, licensed in Maryland (R137492) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1558749267
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameZELBESA VAILIIDA DAKUE MACKCredential: CRNP
Location Address28 HADDINGTON RDTimonium, MD 21093-5719
Mailing Address28 Haddington RdTimonium, MD 21093-5719 · (410) 961-0844
Phone(410) 961-0844
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateMay 13, 2015
Last NPPES UpdateAugust 19, 2024
NPPES CertifiedAugust 19, 2024
✔ NPI 1558749267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in MD · R137492
Also ListedNurse PractitionerTaxonomy 363L00000X · License R137492 (MD)
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License R137492 (MD)
28 HADDINGTON RD, Timonium, MD 21093
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Zelbesa Vailiida Dakue Mack Crnp 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 ID6507166147
PECOS Enrollment IDI20240829001836
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 21093 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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.

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 Zelbesa Mack's NPI number?

The NPI number for Zelbesa Mack is 1558749267. It was assigned to this individual provider in the NPPES registry on May 13, 2015.

Where is Zelbesa Mack located?

Zelbesa Mack practices at 28 Haddington Rd, Timonium, MD 21093. The listed phone number is (410) 961-0844.

What is Zelbesa Mack's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Zelbesa Mack enrolled in Medicare?

Yes. Zelbesa 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.

When was this NPI record last updated?

The NPPES record for Zelbesa 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 23 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.