DANA LEE MACK
NPI 1881067817
Nurse Practitioner - Family in Renville, MN
About Dana Lee Mack NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DANA LEE MACK (NPI 1881067817) is an individual family provider in Renville, Minnesota, licensed in Minnesota (CNP4218) and active in the NPI registry since November 2015. She is enrolled in Medicare PECOS, is affiliated with Hutchinson Health, and maintains a secondary practice location in Olivia.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Dana Lee Mack 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 Dana Mack reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Olivia, MN 56277
- Reassigned Medicare billing, Minnesota enrollment
- Also billed through NPI 1629091871 (Minnesota)
- 125 clinicians in this Medicare group
Walnut Grove, MN 56180
- Reassigned Medicare billing, Minnesota enrollment
- Also billed through NPI 1780781054 (Minnesota)
- 279 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Hutchinson Health
Acute Care Hospitals · Hutchinson, MNOlivia Hospital & Clinic
Critical Access Hospitals · Olivia, MNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 56284 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.
Referred Medical Equipment & Supplies CMS DME claims 2
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
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 Dana Mack's NPI number?
The NPI number for Dana Mack is 1881067817. It was assigned to this individual provider in the NPPES registry on November 13, 2015.
Where is Dana Mack located?
Dana Mack practices at 420 Main Street N, Renville, MN 56284. The listed phone number is (320) 329-8395.
What is Dana Mack's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Dana Mack enrolled in Medicare?
Yes. Dana 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 Dana Mack's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dana Mack reassigns Medicare benefits to 2 organizations: Healthpartners Rc (Olivia, MN) and Sanford Health Network (Walnut Grove, 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 Dana Mack's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Dana Mack affiliated with any hospitals?
According to CMS data, Dana Mack is affiliated with Hutchinson Health and Olivia Hospital & Clinic.
When was this NPI record last updated?
The NPPES record for Dana Mack was last updated on May 18, 2018. 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.
# Dana Lee Mack · NPI 1881067817
Family physician in Renville, Minnesota. Individual provider, active in the CMS NPPES registry since November 13, 2015.
## Identity
- **NPI:** 1881067817 (Entity type: Individual)
- **Enumerated:** November 13, 2015
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** CNP4218 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 420 MAIN STREET N, Renville, MN 56284-0606
- **Phone:** (320) 329-8395 · **Fax:** (320) 329-8397
## 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): Healthpartners Rc (NPI 1649470782, Olivia, MN); Sanford Health Network (NPI 1033306931, Walnut Grove, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** May 18, 2018
---
Source: [NPI Profile](https://npiprofile.com/npi/1881067817) · Data from the CMS NPPES public registry.