MARIAH LYNN MACK MD
NPI 1992447692
Internal Medicine in La Crosse, WI

Q: What is Mariah Mack's NPI number?

The NPI number for Mariah Mack is 1992447692. It was assigned to this individual provider in the NPPES registry on April 12, 2022. The provider is also known as Mariah Lynn Jorda.

Q: What is Mariah Mack's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Mariah Mack was last updated on October 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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 April 12, 2022PECOS EnrolledAccepts Medicare Assignment

1836 SOUTH AVE, LA CROSSE, WI 54601(608) 782-7300 Get Directions Write a Review

NPPES record last updated: October 4, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 4, 2024, Apr 12, 2022 (2 updates tracked since 2022).

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About Mariah Lynn Mack Md NPPES

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

MARIAH LYNN MACK MD (NPI 1992447692) is an individual internal medicine provider in La Crosse, Wisconsin, licensed in Wisconsin (82534) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, is affiliated with Gundersen Lutheran Medical Center, and is a graduate of University Of North Dakota School Of Medicine (2022).

NPPES Registry Identity

NPI1992447692

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameMARIAH LYNN MACKCredential: MD

Location Address1836 SOUTH AVELa Crosse, WI 54601-5429

Mailing Address1836 South AveLa Crosse, WI 54601-5429 · (608) 782-7300

Phone(608) 782-7300

Sole ProprietorNo

Medical School CMSUniversity Of North Dakota School Of MedicineGraduated 2022

Enumeration DateApril 12, 2022

Last NPPES UpdateOctober 4, 20242 updates tracked since enumeration

NPPES CertifiedOctober 4, 2024

✔ NPI 1992447692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in WI · 82534

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1836 SOUTH AVE, La Crosse, WI 54601

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Other Names 1

Former Name (1)Mariah Lynn Jorda

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Medica, Quartz.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

Mariah Lynn Mack Md 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 ID4183005317

PECOS Enrollment IDI20241016000242

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.

Hospital Affiliations CMS Care Compare

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

Gundersen Lutheran Medical Center

Acute Care Hospitals · La Crosse, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520087

Location1910 South AveLa Crosse, WI 54601 · La Crosse County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54601 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

$123.69 typical visit price

range $53.90 – $163.24

Typical copayment $30.92 (range $13.47 – $40.81)

Most-billed visit code 99204

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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 20

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

JEFFREY BRIAN TROHKIMOINEN M.D.

Anesthesiology

1836 SOUTH AVE, GUNDERSEN CLINIC, LTD.
LA CROSSE, WI 54601

La Crosse County (608) 775-2031

JESSICA E THESING CRNA

Nurse Anesthetist, Certified Registered