MRS. GARDNER MACK MSN, APRN, FNP-C - NPI 1609612605 - Nurse Practitioner in Houston, TX

Q: What is Gardner Mack's NPI number?

The NPI number for Gardner Mack is 1609612605. It was assigned to this individual provider in the NPPES registry on July 8, 2024.

Q: What is Gardner 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 Gardner Mack was last updated on July 16, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Mrs. Gardner Mack Msn, Aprn, Fnp-c NPPES

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

MRS. GARDNER MACK MSN, APRN, FNP-C (NPI 1609612605) is an individual family provider in Houston, Texas, licensed in Texas (1168410) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609612605

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. GARDNER MACKCredential: MSN, APRN, FNP-C

Location Address333 WEST LOOP N STE 250Houston, TX 77024-1751

Mailing Address2423 Haverhill DrHouston, TX 77008-3030 · (832) 373-7311

Phone(713) 690-1991

Sole ProprietorNo

Enumeration DateJuly 8, 2024

Last NPPES UpdateJuly 16, 20242 updates tracked since enumeration

NPPES CertifiedJuly 16, 2024

✔ NPI 1609612605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LF0000X

License✔ Licensed in TX · 1168410

333 WEST LOOP N STE 250, Houston, TX 77024

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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 (PECOS)

Mrs. Gardner Mack Msn, Aprn, Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 77024 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

$90.40 typical visit price

range $58.24 – $176.98

Typical copayment $22.60 (range $14.56 – $44.24)

Most-billed visit code 99203

Established Patient

$102.71 typical visit price

range $18.60 – $143.93

Typical copayment $25.67 (range $4.65 – $35.98)

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 7

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

RUBEN RODRIQUEZ LESPRON RD

Dietitian, Registered