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MRS. LISA PASCAL MACK F.N.P.
NPI 1568822252
Nurse Practitioner in Charleston, SC

Active since February 24, 2016PECOS EnrolledAccepts Medicare Assignment
1483 TOBIAS GLADSON BLVD, SUITE 209, CHARLESTON, SC 29407(843) 792-4113 Get Directions Write a Review

NPPES record last updated: December 9, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 9, 2025, Feb 24, 2016 (2 updates tracked since 2016).

About Mrs. Lisa Pascal Mack F.n.p. NPPES

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

MRS. LISA PASCAL MACK F.N.P. (NPI 1568822252) is an individual nurse practitioner in Charleston, South Carolina, licensed in South Carolina (25487) and active in the NPI registry since February 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1568822252
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. LISA PASCAL MACKCredential: F.N.P.
Location Address1483 TOBIAS GLADSON BLVD, SUITE 209Charleston, SC 29407
Mailing Address1483 Tobias Gladson Blvd, Suite 209Charleston, SC 29407 · (843) 792-9888
Phone(843) 792-4113
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateFebruary 24, 2016
Last NPPES UpdateDecember 9, 20252 updates tracked since enumeration
NPPES CertifiedDecember 9, 2025
✔ NPI 1568822252 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses✔ Licensed in SC · 25487✔ Licensed in NH · 082279-23
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License RN2310334 (MA), NP95003696 (CA)
1483 TOBIAS GLADSON BLVD, Charleston, SC 29407
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, First Choice Next.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

Mrs. Lisa Pascal Mack F.n.p. 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 ID8527344654
PECOS Enrollment IDI20211210002126
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 Lisa Mack reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Medical Associates
5.4 mi
Pediatric Emergency Medicine
171 ASHLEY AVE
Charleston, SC 29425
  • Reassigned Medicare billing, South Carolina enrollment
  • Medicare enrollment name: University Medical Associates Of The Medical University Of South Carol
  • 2,594 clinicians in this Medicare group
NPI 1548413453 (843) 792-1414

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 29407 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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 Lisa Mack's NPI number?

The NPI number for Lisa Mack is 1568822252. It was assigned to this individual provider in the NPPES registry on February 24, 2016.

Where is Lisa Mack located?

Lisa Mack practices at 1483 Tobias Gladson Blvd Suite 209, Charleston, SC 29407. The listed phone number is (843) 792-4113.

What is Lisa Mack's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Lisa Mack enrolled in Medicare?

Yes. Lisa 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 Lisa Mack's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Mack reassigns Medicare benefits to University Medical Associates (Charleston, SC). 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 Lisa Mack's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lisa Mack accept?

Health plans from BlueCross BlueShield of South Carolina and First Choice Next list Lisa 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 Lisa Mack was last updated on December 9, 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.