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JODY MACK PA
NPI 1760663140
Physician Assistant - Medical in Montrose, CO

Active since November 14, 2007PECOS Enrolled
947 S 5TH ST, MONTROSE, CO 81401(970) 249-2421(970) 249-1203 Get Directions Write a Review

NPPES record last updated: March 3, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 3, 2022, Dec 3, 2021, Apr 29, 2021 and 2 more (5 updates tracked since 2018).

About Jody Mack Pa NPPES

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

JODY MACK PA (NPI 1760663140) is an individual medical provider in Montrose, Colorado, licensed in Montana (MED-PAC-LIC-61430) and active in the NPI registry since November 2007. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1760663140
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameJODY MACKCredential: PA
Location Address947 S 5TH STMontrose, CO 81401-5716
Mailing Address947 S 5th StMontrose, CO 81401-5716 · (970) 249-2421 · Fax (970) 249-1203
Phone(970) 249-2421
Fax(970) 249-1203
Sole ProprietorNo
Enumeration DateNovember 14, 2007
Last NPPES UpdateMarch 3, 20225 updates tracked since enumeration
NPPES CertifiedMarch 3, 2022
✔ NPI 1760663140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in MT · MED-PAC-LIC-61430
Also ListedPhysician AssistantTaxonomy 363A00000X · License 2457 (CO)
947 S 5TH ST, Montrose, CO 81401
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Other Names 1

Former Name (1)Jody Rutz Pa

Secondary Practice Locations 2

Location 1906 S 4th StMontrose, CO 81401-4226 · Phone (970) 249-2421 · Fax (970) 249-1203
Location 2242 Cottonwood St Ste 101Delta, CO 81416-4404 · Phone (970) 874-7552 · Fax (970) 249-1203

Other Identifiers 1

Medicaid67538746CO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jody Mack Pa 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.

Other Providers at the Same Location NPPES 14

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

THOMAS DAWSON WIARD MD
Pediatrics
947 S 5TH ST
MONTROSE, CO 81401
Montrose County (970) 249-2421
GINNETTE LINAE TRUJILLO RDH
Dental Hygienist
947 S 5TH ST
MONTROSE, CO 81401
Montrose County (970) 249-2421
HEALTHY SMILES DENTAL HYGIENE, PLLC
Dental Hygienist
947 S 5TH ST
MONTROSE, CO 81401
Montrose County (970) 249-2421
DR. TEAL STEPHEN WARTHEN DO
Pediatrics (Adolescent Medicine)
947 S 5TH ST
MONTROSE, CO 81401
Montrose County (970) 249-2421
THOMAS C MILLER M.D.
Pediatrics
947 S 5TH ST
MONTROSE, CO 81401
Montrose County (970) 249-2421
CHILDREN'S HOSPITAL COLORADO
Clinic/Center (Multi-Specialty)
947 S 5TH ST
MONTROSE, CO 81401
Montrose County (970) 249-2421
KELLY VIRGINIA TROUTMAN FNP
Nurse Practitioner (Family)
947 S 5TH ST
MONTROSE, CO 81401
Montrose County (907) 249-2421
HANNAH CATHERINE MCHARGUE LSW
Counselor (Mental Health)
947 S 5TH ST
MONTROSE, CO 81401
Montrose County (970) 249-2421

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 Jody Mack's NPI number?

The NPI number for Jody Mack is 1760663140. It was assigned to this individual provider in the NPPES registry on November 14, 2007. The provider is also known as Jody Rutz PA.

Where is Jody Mack located?

Jody Mack practices at 947 S 5th St, Montrose, CO 81401. The listed phone number is (970) 249-2421.

What is Jody Mack's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Jody Mack enrolled in Medicare?

Yes. Jody Mack is registered in the Medicare PECOS enrollment system.

What insurance does Jody Mack accept?

Health plans from Blue Cross and Blue Shield of Montana, Mountain Health CO-OP and Providence Health Plan list Jody 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 Jody Mack was last updated on March 3, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.