MS. KATHLEEN THERESA MACK (CRNP) – Family Nurse Practitioner, NPI 1932352002
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for MS. KATHLEEN THERESA MACK (CRNP)
Garrett Road, Garrettford, Springfield, Upper Darby, Delaware County, Pennsylvania, 19026, United States
UPPER DARBY, PA 190824516
Phone: (610) 638-1076
Fax: (610) 638-1085
Mailing address matches the actual address.
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 $48.
Total Amount is formed as General ($48) + Research ($0) + Ownership ($0) = $48.
Last reported payment date: 2024-09-12 • Largest payer in this snapshot: Novo Nordisk Inc ($48).
Total Amount
$48
General + Research + Ownership
Payments
3
Total payment records
General Amount
$48
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $48 |
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: 2019-04-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20090402000262 | I | Nurse Practitioner | PA | TBD |
| I20190415002312 | I | Nurse Practitioner | DE | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 88 | 77 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 59 | 53 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 17 | 17 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 14 | 14 | $0 |
Insurance plans in this area (ZIP 19082)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | DE | |
| - | DE | |
| - | DE | |
| - | PA | |
| Internal Medicine | DE | |
| Physician Assistant | DE | |
| Nurse Practitioner | PA | |
| General Surgery | IL | |
| Diagnostic Radiology | NY | |
| Internal Medicine | NY |
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