KENNETH J MACK M.D.
NPI 1689651044
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in Madison, WI
About Kenneth J Mack M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KENNETH J MACK M.D. (NPI 1689651044) is an individual neurology with special qualifications in child neurology provider in Madison, Wisconsin, licensed in Wisconsin (31065) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (1984).
NPPES Registry Identity
Specialties & Licenses 2
Accepted 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
Kenneth J Mack M.d. 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 Kenneth Mack reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Middleton, WI 53562
- Reassigned Medicare billing, Wisconsin enrollment
- 2,832 clinicians in this Medicare group
Rochester, MN 55905
- Reassigned Medicare billing, Minnesota enrollment
- 6,534 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53792 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.
MADISON, WI 53792
MADISON, WI 53792
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 Kenneth Mack's NPI number?
The NPI number for Kenneth Mack is 1689651044. It was assigned to this individual provider in the NPPES registry on December 28, 2005.
Where is Kenneth Mack located?
Kenneth Mack practices at 600 Highland Ave, Madison, WI 53792. The listed phone number is (608) 890-6500.
What is Kenneth Mack's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology, with taxonomy code 2084N0402X.
Is Kenneth Mack enrolled in Medicare?
Yes. Kenneth 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 Kenneth Mack's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Mack reassigns Medicare benefits to 2 organizations: University Of Wisconsin Medical Foundation, Inc (Middleton, WI) and Mayo Clinic (Rochester, MN). 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 Kenneth Mack's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kenneth Mack accept?
Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Group Health Cooperative-SCW, HealthPartners and Quartz and 1 other insurer list Kenneth 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 Kenneth Mack was last updated on March 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Kenneth J Mack, M.D. · NPI 1689651044
Neurology with Special Qualifications in Child Neurology physician in Madison, Wisconsin. Individual provider, active in the CMS NPPES registry since December 28, 2005.
## Identity
- **NPI:** 1689651044 (Entity type: Individual)
- **Enumerated:** December 28, 2005
- **Primary specialty:** Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology · taxonomy 2084N0402X
- **State license:** 31065 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 600 HIGHLAND AVE, Madison, WI 53792-0001
- **Phone:** (608) 890-6500
## 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): University Of Wisconsin Medical Foundation, Inc (NPI 1598784555, Middleton, WI); Mayo Clinic (NPI 1114343860, Rochester, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Illinois College Of Med, class of 1984
## Record status
- **NPPES last updated:** March 15, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1689651044) · Data from the CMS NPPES public registry.