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KAITLIN MARIE MACK CNP
NPI 1790203370
Nurse Practitioner - Family in Columbus, OH

Active since September 05, 2017PECOS EnrolledAccepts Medicare Assignment
81.3/100
CMS Quality Rating
800 MCCONNELL RD, COLUMBUS, OH 43214(614) 566-5019 Get Directions Write a Review

NPPES record last updated: September 5, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kaitlin Marie Mack Cnp NPPES

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

KAITLIN MARIE MACK CNP (NPI 1790203370) is an individual family provider in Columbus, Ohio, licensed in Ohio (APRN.CNP.021460) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS, is affiliated with Riverside Methodist Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1790203370
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKAITLIN MARIE MACKCredential: CNP
Location Address800 MCCONNELL RDColumbus, OH 43214-3463
Mailing Address3600 S Old 3c HwyGalena, OH 43021-9518 · (440) 864-5120
Phone(614) 566-5019
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateSeptember 5, 2017
✔ NPI 1790203370 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 OH · APRN.CNP.021460
800 MCCONNELL RD, Columbus, OH 43214
Open in Google Maps ↗

Other Names 1

Former Name (1)Kaitlin Marie Clark

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual.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

Kaitlin Marie Mack Cnp 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 ID42586141
PECOS Enrollment IDI20171017002671
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 2

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 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
123 services62 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
53 services52 patients

Hospital Affiliations CMS Care Compare

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

Riverside Methodist Hospital

Acute Care Hospitals · Columbus, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360006
Location3535 Olentangy River RdColumbus, OH 43214 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43214 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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.

81.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.58
Promoting Interoperability98
Improvement Activities40
Cost65.77

Other Providers at the Same Location NPPES 9

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

DANIEL W PIETRYGA MD
Internal Medicine (Hospice and Palliative Medicine)
800 MCCONNELL RD
COLUMBUS, OH 43214
Franklin County (614) 566-5377
CATHERINE ANNE DEAN-HAIDET CNS
Clinical Nurse Specialist (Psychiatric/Mental Health, Adult)
800 MCCONNELL RD
COLUMBUS, OH 43214
Franklin County (614) 566-5377
KAREN E LYNCH CNP
Nurse Practitioner (Family)
800 MCCONNELL RD
COLUMBUS, OH 43214
Franklin County (614) 566-5019
OHIOHEALTH
General Acute Care Hospital
800 MCCONNELL RD
COLUMBUS, OH 43214
Franklin County (614) 566-5019
MEGAN R CHURCH CNP
Nurse Practitioner (Family)
800 MCCONNELL RD
COLUMBUS, OH 43214
Franklin County (866) 389-2727
DR. AMY RAK M.D.
Internal Medicine (Hospice and Palliative Medicine)
800 MCCONNELL RD
COLUMBUS, OH 43214
Franklin County (614) 533-6297
MS. MONIQUE CHARMION GANUCHEAU ANP-BC
Nurse Practitioner (Adult Health)
800 MCCONNELL RD
COLUMBUS, OH 43214
Franklin County (614) 566-5377
DR. MICHAEL DAVID PATTERSON D.O.
Internal Medicine (Hospice and Palliative Medicine)
800 MCCONNELL RD
COLUMBUS, OH 43214
Franklin County (614) 566-5377

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 Kaitlin Mack's NPI number?

The NPI number for Kaitlin Mack is 1790203370. It was assigned to this individual provider in the NPPES registry on September 5, 2017. The provider is also known as Kaitlin Marie Clark.

Where is Kaitlin Mack located?

Kaitlin Mack practices at 800 Mcconnell Rd, Columbus, OH 43214. The listed phone number is (614) 566-5019.

What is Kaitlin Mack's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kaitlin Mack enrolled in Medicare?

Yes. Kaitlin 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 Kaitlin Mack accept?

Health plans from CareSource and MedMutual list Kaitlin 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 Kaitlin Mack affiliated with any hospitals?

According to CMS data, Kaitlin Mack is affiliated with Riverside Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Kaitlin Mack was last updated on September 5, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.