LUCY A MACK (FNP) – Family Nurse Practitioner, NPI 1013955673
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for LUCY A MACK (FNP)
161 MARGINAL WAY
PORTLAND, ME 041012438
Phone: (207) 773-7964
Type: Location
Gannett Drive, South Portland, Cumberland County, Maine, 04092, United States
SOUTH PORTLAND, ME 041063266
Phone: (207) 482-7800
Type: Mailing
Maine Medical Center, 22, Bramhall Street, West End, Portland, Cumberland County, Maine, 04102, United States
PORTLAND, ME 041023134
Phone: (207) 662-2526
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $50.
Total Amount is formed as General ($50) + Research ($0) + Ownership ($0) = $50.
Last reported payment date: 2024-06-03 • Largest payer in this snapshot: AIMMUNE THERAPEUTICS, INC. ($27).
Total Amount
$50
General + Research + Ownership
Payments
2
Total payment records
General Amount
$50
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AIMMUNE THERAPEUTICS, INC. | $27 |
| GENZYME CORPORATION | $23 |
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: 2004-04-01
PECOS data refreshed: 2026-06-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040401000549 | I | Nurse Practitioner | ME | TBD |
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.
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 04101)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| A N E S T H E S I O L O G Y | MN | |
| P A T H O L O G Y | OK | |
| Anesthesiology, Critical Care (Intensivists), Hospice/Palliative Care | ME | |
| A N E S T H E S I O L O G Y | ME | |
| A N E S T H E S I O L O G Y | ME | |
| - | NH | |
| - | ME | |
| - | NH | |
| Diagnostic Radiology | ME | |
| - | ME |
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