NATASHA MARIE MACK (NURSE PRACTITIONER) – Family Nurse Practitioner, NPI 1003680885

NATASHA MARIE MACK (NURSE PRACTITIONER) is a healthcare provider. based in Topeka, Kansas. specializing in NURSE PRACTITIONER. They hold the professional credentials NURSE PRACTITIONER. They hold a License No. 53-82317-091 (KS). The NPI Number for NATASHA MARIE MACK (NURSE PRACTITIONER) is 1003680885

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
NATASHA MARIE MACK (NURSE PRACTITIONER)
NPI
1003680885
Phone
(785) 350-3111
Address
2200 SW Gage Blvd
Enumeration Date
13 November 2023
Last Update Date
28 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8882563814
Graduation Year
2022 (4 years ago)
PAC ID
0941741763
Group Practice PAC ID
6709175912
Professional Enrollment ID
I20240920000415
Address ID
KS674491662HE2XXXXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

3,550 NURSE PRACTITIONER in KS

Provider Addresses for NATASHA MARIE MACK (NURSE PRACTITIONER)

  • 2200 SW Gage Blvd

    Topeka, KS 666220001

    Phone: (785) 350-3111

    Type: Location

  • 2911 SW WHITNEY LN

    TOPEKA, KS 666144814

    Phone: (785) 845-9797

    Type: Mailing

  • 1100 NW SOUTH OUTER RD STE 200

    BLUE SPRINGS, MO 640153069

    Phone: (888) 256-3814

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $61.

Total Amount is formed as General ($61) + Research ($0) + Ownership ($0) = $61.

Last reported payment date: 2024-09-06 • Largest payer in this snapshot: MIMEDX Group, Inc. ($22).

Total Amount

$61

General + Research + Ownership

Payments

3

Total payment records

General Amount

$61

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-06

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-09-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240920000415INurse PractitionerKSTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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 66622)

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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: 6709175912View full group profile
NameSpecialtyState
Nurse PractitionerMO
Nurse PractitionerNE
Nurse PractitionerCA
Nurse PractitionerMO
-MO
Nurse PractitionerMO
Nurse PractitionerMO
Nurse PractitionerKS
Nurse PractitionerMO
Nurse PractitionerCA

Reviews

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Frequently asked questions

How is NATASHA MARIE MACK (NURSE PRACTITIONER) identified in CMS data?
CMS-hosted NPPES data lists NATASHA MARIE MACK (NURSE PRACTITIONER) with NPI 1003680885.
Can I rely on NATASHA MARIE MACK (NURSE PRACTITIONER) being an active provider?
As of the registry snapshot, NATASHA MARIE MACK (NURSE PRACTITIONER) is marked active.
What taxonomy line describes NATASHA MARIE MACK (NURSE PRACTITIONER)?
For research purposes, treat NATASHA MARIE MACK (NURSE PRACTITIONER) as Family Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Does NATASHA MARIE MACK (NURSE PRACTITIONER) list a practice location?
Patients near Topeka, Kansas may find NATASHA MARIE MACK (NURSE PRACTITIONER) in results; validate coverage separately.
Is the information about NATASHA MARIE MACK (NURSE PRACTITIONER) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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