BRITTNI MACK (PA-C) – Surgical Physician Assistant, NPI 1063975753

BRITTNI MACK (PA-C) is a healthcare provider. based in Johnstown, Pennsylvania. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 56843 (CA). The NPI Number for BRITTNI MACK (PA-C) is 1063975753

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
BRITTNI MACK (PA-C)
NPI
1063975753
Phone
(814) 418-7206
Address
147 BERKEY DR
Enumeration Date
9 April 2019
Last Update Date
2 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8059830425
Graduation Year
2019 (7 years ago)
PAC ID
9931532835
Group Practice PAC ID
7214435965
Professional Enrollment ID
I20191206002137
Address ID
CA930360666OX1901XDRXX424
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

10,686 PHYSICIAN ASSISTANT in CA

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Provider Addresses for BRITTNI MACK (PA-C)

  • 147 BERKEY DR

    JOHNSTOWN, PA 159041254

    Phone: (814) 418-7206

    Type: Mailing

  • Mount Vernon Avenue, Bakersfield, Kern County, California, 93307, United States

    BAKERSFIELD, CA 933064018

    Phone: (661) 326-2000

    Type: Location

  • 1700 Mount Vernon Ave

    Bakersfield, CA 933064018

    Phone: (661) 326-2000

    Type: Location

  • 2323 De La Vina St Ste 205

    Santa Barbara, CA 931053879

    Phone: (805) 988-2775

    Fax: (805) 278-1220

    Type: Location

  • 1700 N ROSE AVE STE 470

    OXNARD, CA 930307659

    Phone: (805) 988-2775

    Fax: (805) 278-1220

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 30 Open Payments records for all available years, with a total value of $1,423.

Total Amount is formed as General ($1,423) + Research ($0) + Ownership ($0) = $1,423.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Abbott Laboratories ($695).

Total Amount

$1,423

General + Research + Ownership

Payments

30

Total payment records

General Amount

$1,423

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

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: 2019-12-06

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20191206002137IPhysician AssistantCATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes2011$0
View full utilization report →

Insurance plans in this area (ZIP 15904)

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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: 7214435965View full group profile
NameSpecialtyState
Physician AssistantCA
N E U R O S U R G E R YCA
N E U R O L O G YCA
N E U R O L O G YCA
Critical Care (Intensivists), Vascular Surgery, Neurosurgery, Vascular SurgeryMN
N E U R O L O G YCA
N E U R O L O G YCA
N E U R O L O G YCA
N E U R O L O G YCA
Clinical PsychologistCA

Reviews

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Frequently asked questions

What unique ID ties claims to BRITTNI MACK (PA-C)?
NPI 1063975753 is assigned to BRITTNI MACK (PA-C) under the national enumeration system.
Is BRITTNI MACK (PA-C) currently active in the NPI registry?
CMS-published data lists BRITTNI MACK (PA-C) as an active registrant.
Does BRITTNI MACK (PA-C) list a primary specialty?
If you are matching referrals, note Surgical Physician Assistant for BRITTNI MACK (PA-C). Clinical services aligned with this taxonomy classification.
Where is BRITTNI MACK (PA-C)'s primary listing?
We display Johnstown, Pennsylvania because that is what the record indicates for BRITTNI MACK (PA-C).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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