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

Q: 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.

Q: What is Kathleen Mack's specialty?

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

Q: 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.

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: August 09, 2026.

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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

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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, and ordering and referring status from the CMS PECOS system.

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.

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