MARY MACK (DNP) – Nurse Practitioner, NPI 1962023598

MARY MACK (DNP) is a healthcare provider. based in Bakersfield, California. specializing in Nurse Practitioner. They hold the professional credentials DNP. They hold a License No. 95014527 (CA). The NPI Number for MARY MACK (DNP) is 1962023598

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
MARY MACK (DNP)
NPI
1962023598
Phone
(661) 204-2455
Address
10707 PLEASANT VALLEY DR
Enumeration Date
5 May 2020
Last Update Date
7 March 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6613269999
Graduation Year
2020 (6 years ago)
PAC ID
3870914757
Group Practice PAC ID
9931268075
Professional Enrollment ID
I20200601002376
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

Provider Addresses for MARY MACK (DNP)

  • 10707 PLEASANT VALLEY DR

    BAKERSFIELD, CA 933119154

    Phone: (661) 204-2455

    Type: Mailing

  • 3805 SAN DIMAS ST STE B

    BAKERSFIELD, CA 933015725

    Phone: (661) 326-9999

    Type: Location

  • 2615 Chester Ave

    Bakersfield, CA 933012014

    Phone: (661) 395-3000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 93311)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9931268075View full group profile
NameSpecialtyState
Nurse PractitionerCA
Nurse PractitionerCA
-CA
Nurse PractitionerCA
Pulmonary Disease, Critical Care (Intensivists)CA
Nurse PractitionerCA
Critical Care (Intensivists), Internal Medicine, Pulmonary DiseaseAL
Nurse PractitionerCA
Nurse PractitionerCA
Nurse PractitionerCA

Reviews

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Frequently asked questions

What is the standard ID for MARY MACK (DNP) in the U.S.?
In the U.S., MARY MACK (DNP) is identified by NPI 1962023598.
Is MARY MACK (DNP) currently accepting referrals based on NPI status?
Registry metadata lists MARY MACK (DNP) as active.
What does the directory say MARY MACK (DNP) does?
Insurance directories may phrase it differently, but here MARY MACK (DNP) maps to Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What city is tied to MARY MACK (DNP)?
The directory associates MARY MACK (DNP) with Bakersfield, California. Check all listed addresses for suites or satellite offices.
Can I export MARY MACK (DNP)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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