JENNIFER MACK APRN-CNP - NPI 1568078376 - Nurse Practitioner in Cincinnati, OH

Q: What is Jennifer Mack's NPI number?

The NPI number for Jennifer Mack is 1568078376. It was assigned to this individual provider in the NPPES registry on September 17, 2020. The provider is also known as Jennifer Prendergast.

Q: What is Jennifer Mack's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Mack was last updated on June 11, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Jennifer Mack Aprn-cnp NPPES

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

JENNIFER MACK APRN-CNP (NPI 1568078376) is an individual family provider in Cincinnati, Ohio, licensed in Ohio (APRN.CNP.0027542) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS, maintains 7 additional practice locations, and is a graduate of Ohio State University College Of Medicine (2020).

NPPES Registry Identity

NPI1568078376

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJENNIFER MACKCredential: APRN-CNP

Location Address719 OHIO PIKECincinnati, OH 45245-2131

Mailing Address505 Corporate Center Dr Unit AVandalia, OH 45377-1168 · (937) 898-2098

Phone(513) 853-9700

Fax(513) 852-8966

Sole ProprietorNo

Medical School CMSOhio State University College Of MedicineGraduated 2020

Enumeration DateSeptember 17, 2020

Last NPPES UpdateJune 11, 20262 updates tracked since enumeration

NPPES CertifiedJune 11, 2026

✔ NPI 1568078376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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

Taxonomy Code363LF0000X

License✔ Licensed in OH · APRN.CNP.0027542

Also ListedNurse PractitionerTaxonomy 363L00000X · License APRN.CNP.0027542 (OH)

719 OHIO PIKE, Cincinnati, OH 45245

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Other Names 1

Former Name (1)Jennifer Prendergast

Secondary Practice Locations 7

Location 1505 Corporate Center Dr Unit AVandalia, OH 45377-1168 · Phone (937) 898-2098

Location 212110 Lebanon RdSharonville, OH 45241-1739 · Phone (513) 853-9700 · Fax (513) 852-8970

Location 39775 Colerain AveCincinnati, OH 45251-1442 · Phone (513) 853-9700 · Fax (513) 852-8971

Location 410529 Loveland Madeira RdLoveland, OH 45140-8963 · Phone (513) 853-9700 · Fax (513) 852-8965

Location 55403 N Bend RdCincinnati, OH 45247-7620 · Phone (513) 853-9700 · Fax (513) 852-8969

Location 64090 E Galbraith RdCincinnati, OH 45236-2324 · Phone (513) 853-9700 · Fax (513) 852-8968

Location 74605 Montgomery RdNorwood, OH 45212-2607 · Phone (513) 853-9700 · Fax (513) 852-8967

Other Identifiers 1

Medicaid0383163OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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

Jennifer Mack Aprn-cnp 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 ID6305239351

PECOS Enrollment IDI20220215002024

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 45245 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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 6

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

MRS. ELIZABETH JORDAN RPH

Pharmacist