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KAMRYN ALICE MACK PA-C
NPI 1619445228
Physician Assistant in Southfield, MI

Active since November 13, 2018PECOS EnrolledAccepts Medicare Assignment
80.53/100
CMS Quality Rating
22255 GREENFIELD RD STE 400, SOUTHFIELD, MI 48075(248) 849-4880(248) 849-4881 Get Directions Write a Review

NPPES record last updated: January 6, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 6, 2022, Oct 1, 2021, Apr 9, 2020 and 1 more (4 updates tracked since 2018).

About Kamryn Alice Mack Pa-c NPPES

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

KAMRYN ALICE MACK PA-C (NPI 1619445228) is an individual physician assistant in Southfield, Michigan, licensed in Michigan (5601009636) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS, is affiliated with Ascension Providence Hospital, Southfield And Novi, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1619445228
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKAMRYN ALICE MACKCredential: PA-C
Location Address22255 GREENFIELD RD STE 400Southfield, MI 48075-3734
Mailing Address22255 Greenfield Rd Ste 400Southfield, MI 48075-3734 · (248) 849-4880 · Fax (248) 849-4881
Phone(248) 849-4880
Fax(248) 849-4881
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateNovember 13, 2018
Last NPPES UpdateJanuary 6, 20224 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2022
✔ NPI 1619445228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MI · 5601009636
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
22255 GREENFIELD RD STE 400, Southfield, MI 48075
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11201 South Dr Ste 371MT Pleasant, MI 48858-3255 · Phone (989) 953-5313 · Fax (989) 953-5316
Location 21280 East Campus Dr Central Michigan UniversityMT Pleasant, MI 48859-0001 · Phone (989) 774-2478

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community 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

Kamryn Alice Mack Pa-c 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 ID1557791738
PECOS Enrollment IDI20200501000931
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.

Areas of Expertise CMS Part B claims 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
74 services42 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
64 services57 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
31 services28 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
22 services22 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ascension Providence Hospital, Southfield And Novi

Acute Care Hospitals · Southfield, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230019
Location16001 W Nine Mile RdSouthfield, MI 48075 · Oakland County
Emergency services Birthing friendly

Henry Ford Health Hospital

Acute Care Hospitals · Detroit, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230053
Location2799 W Grand BlvdDetroit, MI 48202 · Wayne County
Emergency services Birthing friendly

Ascension St John Hospital

Acute Care Hospitals · Detroit, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230165
Location22101 Moross RdDetroit, MI 48236 · Wayne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48075 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

80.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.56
Promoting Interoperability100
Improvement Activities40
Cost61.55

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
4 suppliers20 claims236 services$18.94 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
4 suppliers19 claims612 services$2.41 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
15 suppliers39 claims125 services$6.36 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
9 suppliers20 claims33 services$1.10 avg. paid by Medicare
Insulin for administration through dme (i.e., insulin pump) per 50 units J1817
Treatment-Injections and Infusions (nononcologic) · category RI000N
7 suppliers21 claims2,380 services$6.89 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
11 suppliers99 claims105 services$193.04 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

DANIA SALIM ASSAD M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
22255 GREENFIELD RD STE 400
SOUTHFIELD, MI 48075
Oakland County (248) 849-4880
ZAHER MSALLATY MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
22255 GREENFIELD RD STE 400
SOUTHFIELD, MI 48075
Oakland County (248) 849-4880

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 Kamryn Mack's NPI number?

The NPI number for Kamryn Mack is 1619445228. It was assigned to this individual provider in the NPPES registry on November 13, 2018.

Where is Kamryn Mack located?

Kamryn Mack practices at 22255 Greenfield Rd Ste 400, Southfield, MI 48075. The listed phone number is (248) 849-4880.

What is Kamryn Mack's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kamryn Mack enrolled in Medicare?

Yes. Kamryn 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.

What insurance does Kamryn Mack accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Kamryn 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.

Is Kamryn Mack affiliated with any hospitals?

According to CMS data, Kamryn Mack is affiliated with Ascension Providence Hospital, Southfield And Novi, Henry Ford Health Hospital and Ascension St John Hospital.

When was this NPI record last updated?

The NPPES record for Kamryn Mack was last updated on January 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.