CHARISSE L MACK PA
NPI 1801973615
Physician Assistant in Boise, ID

Active since November 01, 2006PECOS EnrolledAccepts Medicare Assignment
83.32/100
CMS Quality Rating
6140 CURTISIAN AVE, STE 400, BOISE, ID 83704(208) 367-3500(208) 367-2968 Get Directions Write a Review

NPPES record last updated: March 4, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Charisse L Mack Pa NPPES

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

CHARISSE L MACK PA (NPI 1801973615) is an individual physician assistant in Boise, Idaho, licensed in Idaho (PA-632) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1801973615
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameCHARISSE L MACKCredential: PA
Location Address6140 CURTISIAN AVE, STE 400Boise, ID 83704-8880
Mailing Address190 E Bannock StBoise, ID 83712-6241 · (208) 381-2222 · Fax (208) 367-2968
Fax(208) 367-2968
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateNovember 1, 2006
Last NPPES UpdateMarch 4, 2013
NPI 1801973615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in ID · PA-632
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.

Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License PA632 (ID)
6140 CURTISIAN AVE, Boise, ID 83704

Other Identifiers 7

Medicare UPINQ76267ID
Medicare PIN16681401ID
OtherPAD65ID · Blue Cross Of Id
Other000010158697ID · Blue Shield Of Id
Medicaid807590500ID
Other0214786ID · State Of Wa Dol
Medicare PINP00465610

Accepted 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

Charisse L Mack Pa 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 ID4385748813
PECOS Enrollment IDI20070322000393
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 14

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.

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.
69 services67 patients
Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment 63047
This procedure involves removing part of a spine bone to alleviate pressure on the lower spinal cord and/or nerves. It targets a single segment of the spine, improving mobility and reducing pain. It's a common treatment for conditions like herniated discs or spinal stenosis.
32 services31 patients
Fusion of additional segment of spine 22614
Fusion of an additional segment of the spine is a surgical procedure to join two or more vertebrae together. This is done to stabilize the spine and reduce pain or correct a deformity. The procedure involves using bone grafts, rods, or screws to secure the spine.
28 services14 patients
Insertion of cage or mesh device to spine bone and disc space during spine fusion 22853
Spine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.
27 services22 patients
Placement of stabilizing device to back of 1 spine bone in neck 22840
This procedure involves positioning a stabilizing device onto a single spinal bone in the neck. The goal is to provide support and prevent movement that could cause discomfort or further injury. It's performed by trained specialists under anesthesia.
26 services26 patients
Fusion of spine in lower back 22612
Fusion of the spine in the lower back, also known as lumbar spinal fusion, is a surgery aimed to join, or fuse, two or more vertebrae in your lower back. This procedure can help alleviate pain and improve stability by reducing movement between the vertebrae.
20 services20 patients

Hospital Affiliations CMS Care Compare 2

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

St Luke's Regional Medical Center

Acute Care Hospitals · Boise, ID
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130006
Location190 East Bannock StreetBoise, ID 83712 · Ada County
Emergency services Birthing friendly

St Luke's Nampa Medical Center

Acute Care Hospitals · Nampa, ID
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130071
Location9850 West St Lukes DriveNampa, ID 83687 · Canyon County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83704 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
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.

83.32/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.51
Promoting Interoperability100
Improvement Activities40
Cost64.88

Other Providers at the Same Location NPPES 17

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

6140 CURTISIAN AVE
BOISE, ID 83704
Obstetrics & Gynecology
6140 CURTISIAN AVE, SUITE 100
BOISE, ID 83704
Neurological Surgery
6140 CURTISIAN AVE, SUITE 400
BOISE, ID 83704
Advanced Practice Midwife
6140 CURTISIAN AVE, SUITE 100
BOISE, ID 83704
Specialist/Technologist, Other (Surgical Assistant)
6140 CURTISIAN AVE, STE 400
BOISE, ID 83704
Neurological Surgery
6140 CURTISIAN AVE, SUITE 400
BOISE, ID 83704
Obstetrics & Gynecology
6140 CURTISIAN AVE, SUITE 100
BOISE, ID 83704
Internal Medicine (Cardiovascular Disease)
6140 CURTISIAN AVE, SUITE 200
BOISE, ID 83704

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 Charisse Mack's NPI number?

The NPI number for Charisse Mack is 1801973615. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is Charisse Mack located?

Charisse Mack practices at 6140 Curtisian Ave Ste 400, Boise, ID 83704. The listed phone number is (208) 367-3500.

What is Charisse Mack's specialty?

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

Is Charisse Mack enrolled in Medicare?

Yes. Charisse 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 Charisse Mack accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan list Charisse 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 Charisse Mack affiliated with any hospitals?

According to CMS data, Charisse Mack is affiliated with St Luke's Regional Medical Center and St Luke's Nampa Medical Center.

When was this NPI record last updated?

The NPPES record for Charisse Mack was last updated on March 4, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.