MR. MARTY PHILLIP DACK NP
NPI 1871686337
Nurse Practitioner - Family in Lansing, MI
About Mr. Marty Phillip Dack Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. MARTY PHILLIP DACK NP (NPI 1871686337) is an individual family provider in Lansing, Michigan, licensed in Michigan (4704222015) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Edward W Sparrow Hospital, and is a graduate of Other (2003).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 12
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
Mr. Marty Phillip Dack Np 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
4Medicare enrollment records show Marty Dack reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lansing, MI 48912
- Reassigned Medicare billing, Michigan enrollment
- Also billed through NPI 1427004183 (Michigan)
- 265 clinicians in this Medicare group
Portland, MI 48875
- Reassigned Medicare billing, Michigan enrollment
- 317 clinicians in this Medicare group
Fowler, MI 48835
- Reassigned Medicare billing, Michigan enrollment
- 215 clinicians in this Medicare group
Auburn Hills, MI 48326
- Reassigned Medicare billing, Michigan enrollment
- 63 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.
Areas of Expertise CMS Part B claims 5
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Edward W Sparrow Hospital
Acute Care Hospitals · Lansing, MIEaton Rapids Medical Center
Critical Access Hospitals · Eaton Rapids, MISparrow Clinton Hospital
Critical Access Hospitals · Saint Johns, MISparrow Eaton Hospital
Critical Access Hospitals · Charlotte, MISparrow Ionia Hospital
Critical Access Hospitals · Ionia, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48912 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
Referred Medical Equipment & Supplies CMS DME claims 5
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Marty Dack's NPI number?
The NPI number for Marty Dack is 1871686337. It was assigned to this individual provider in the NPPES registry on October 2, 2006.
Where is Marty Dack located?
Marty Dack practices at 1703 E Michigan Ave, Lansing, MI 48912. The listed phone number is (517) 913-3860.
What is Marty Dack's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Marty Dack enrolled in Medicare?
Yes. Marty Dack 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 Marty Dack's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Marty Dack reassigns Medicare benefits to 4 organizations: Edward W Sparrow Hospital Association (Lansing, MI), Sparrow Ionia Hospital (Portland, MI), Sparrow Carson Hospital (Fowler, MI) and Recovery Physicians Network Of Michigan (Auburn Hills, MI). 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 Marty Dack's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Marty Dack accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company, Priority Health and UnitedHealthcare list Marty Dack 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 Marty Dack affiliated with any hospitals?
According to CMS data, Marty Dack is affiliated with Edward W Sparrow Hospital, Eaton Rapids Medical Center, Sparrow Clinton Hospital, Sparrow Eaton Hospital and Sparrow Ionia Hospital.
When was this NPI record last updated?
The NPPES record for Marty Dack was last updated on August 26, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Mr. Marty Phillip Dack, NP · NPI 1871686337
Family physician in Lansing, Michigan. Individual provider, active in the CMS NPPES registry since October 2, 2006.
## Identity
- **NPI:** 1871686337 (Entity type: Individual)
- **Enumerated:** October 2, 2006
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 4704222015 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 1703 E MICHIGAN AVE, Lansing, MI 48912-2841
- **Phone:** (517) 913-3860 · **Fax:** (517) 484-6864
## 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:** 4 organizations under Medicare reassignment (form CMS-855R): Edward W Sparrow Hospital Association (NPI 1568867190, Lansing, MI); Sparrow Ionia Hospital (NPI 1295801108, Portland, MI); Sparrow Carson Hospital (NPI 1619124328, Fowler, MI); Recovery Physicians Network Of Michigan (NPI 1689343683, Auburn Hills, MI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2003
## Record status
- **NPPES last updated:** August 26, 2010
- **Other identifiers:** Other 1057822 (MI); Other P00367059 (MI); Other 200000006547 (MI); and 9 more
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Source: [NPI Profile](https://npiprofile.com/npi/1871686337) · Data from the CMS NPPES public registry.