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MS. KATHLEEN THERESA MACK CRNP
NPI 1932352002
Nurse Practitioner - Family in Upper Darby, PA

Active since November 02, 2008PECOS Enrolled
1560 GARRETT RD, UPPER DARBY, PA 19082(610) 638-1076(610) 638-1085 Get Directions Write a Review

NPPES record last updated: May 13, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ms. Kathleen Theresa Mack Crnp NPPES

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

MS. KATHLEEN THERESA MACK CRNP (NPI 1932352002) is an individual family provider in Upper Darby, Pennsylvania, licensed in Pennsylvania (SP008049) and active in the NPI registry since November 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932352002
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. KATHLEEN THERESA MACKCredential: CRNP
Location Address1560 GARRETT RDUpper Darby, PA 19082-4516
Mailing Address1560 Garrett RdUpper Darby, PA 19082-4516 · (610) 638-1076 · Fax (610) 638-1085
Phone(610) 638-1076
Fax(610) 638-1085
Sole ProprietorNo
Enumeration DateNovember 2, 2008
Last NPPES UpdateMay 13, 2014
✔ NPI 1932352002 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 PA · SP008049
1560 GARRETT RD, Upper Darby, PA 19082
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Kathleen Theresa Mack Crnp 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Kathleen Mack reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Prospect Health Access Network, Inc.
0.5 mi
Obstetrics & Gynecology
2100 KEYSTONE AVE, SUITE 707
Drexel Hill, PA 19026
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 654 clinicians in this Medicare group
NPI 1255786729 (610) 626-7070
Christiana Care Health Services, Inc
17 mi
Family Medicine
1401 FOULK RD, SUITE 100B
Wilmington, DE 19803
  • Reassigned Medicare billing, Delaware enrollment
  • Also billed through NPI 1760811681 (Delaware)
  • 1,531 clinicians in this Medicare group
NPI 1619951068 (302) 477-3300

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19082 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

Other Providers at the Same Location NPPES 6

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

MRS. ROSEMARY FITZGERALD CNM
Advanced Practice Midwife
1560 GARRETT RD
UPPER DARBY, PA 19082
Delaware County (610) 284-3300
MRS. BERNADETTE LLOYD-SOBOLOW CNM
Advanced Practice Midwife
1560 GARRETT RD
UPPER DARBY, PA 19082
Delaware County (610) 284-3300
MS. MOON E SMITH MSN
Advanced Practice Midwife
1560 GARRETT RD
UPPER DARBY, PA 19082
Delaware County (610) 284-3300
HEALTH ACCESS NETWORK
Advanced Practice Midwife
1560 GARRETT RD
UPPER DARBY, PA 19082
Delaware County (610) 284-3300
MS. PATRICIA A RAGONE MW
Advanced Practice Midwife
1560 GARRETT RD
UPPER DARBY, PA 19082
Delaware County (610) 284-3300
MRS. LINSEY A WILL CRNP
Nurse Practitioner (Obstetrics & Gynecology)
1560 GARRETT RD
UPPER DARBY, PA 19082
Delaware County (610) 284-3300

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 Kathleen Mack's NPI number?

The NPI number for Kathleen Mack is 1932352002. It was assigned to this individual provider in the NPPES registry on November 2, 2008.

Where is Kathleen Mack located?

Kathleen Mack practices at 1560 Garrett Rd, Upper Darby, PA 19082. The listed phone number is (610) 638-1076.

What is Kathleen Mack's specialty?

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

Is Kathleen Mack enrolled in Medicare?

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

Which organizations bill Medicare for Kathleen Mack's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Mack reassigns Medicare benefits to 2 organizations: Prospect Health Access Network, Inc. (Drexel Hill, PA) and Christiana Care Health Services, Inc (Wilmington, DE). 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 Kathleen Mack's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kathleen Mack accept?

Health plans from AmeriHealth Caritas Next list Kathleen 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 Kathleen Mack was last updated on May 13, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.