MS. MICHELE C MACK NP
NPI 1609806272
Nurse Practitioner - Primary Care in North Hills, CA
About Ms. Michele C Mack Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. MICHELE C MACK NP (NPI 1609806272) is an individual primary care provider in North Hills, California, licensed in California (RN396527) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1993).
NPPES Registry Identity
Specialties & Licenses
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. Michele C Mack Np 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.
Medicare Billing Reassignments
2Medicare enrollment records show Michele Mack reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Valencia, CA 91355
- Reassigned Medicare billing, California enrollment
- 684 clinicians in this Medicare group
Torrance, CA 90503
- Reassigned Medicare billing, California enrollment
- 266 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 91343 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
NORTH HILLS, CA 91343
SEPULVEDA, CA 91343
NORTH HILLS, CA 91343
SEPULVEDA, CA 91343
SEPULVEDA, CA 91343
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 Michele Mack's NPI number?
The NPI number for Michele Mack is 1609806272. It was assigned to this individual provider in the NPPES registry on July 3, 2006.
Where is Michele Mack located?
Michele Mack practices at 16111 Plummer St Bldg #200 Rm#3411, North Hills, CA 91343. The listed phone number is (818) 891-7711.
What is Michele Mack's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Michele Mack enrolled in Medicare?
Yes. Michele 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 organizations bill Medicare for Michele Mack's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michele Mack reassigns Medicare benefits to 2 organizations: Providence Facey Medical Foundation (Valencia, CA) and Providence Medical Institute (Torrance, CA). Each 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 Michele Mack's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Michele Mack was last updated on September 19, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Ms. Michele C Mack, NP · NPI 1609806272
Primary Care physician in North Hills, California. Individual provider, active in the CMS NPPES registry since July 3, 2006.
## Identity
- **NPI:** 1609806272 (Entity type: Individual)
- **Enumerated:** July 3, 2006
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** RN396527 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 16111 PLUMMER ST, BLDG #200 RM#3411, North Hills, CA 91343-2036
- **Phone:** (818) 891-7711 · **Fax:** (818) 895-9453
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Providence Facey Medical Foundation (NPI 1710031588, Valencia, CA); Providence Medical Institute (NPI 1235182569, Torrance, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1993
## Record status
- **NPPES last updated:** September 19, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1609806272) · Data from the CMS NPPES public registry.