RACHEL MICHELE MACK – Speech-Language Pathologist, NPI 1417564238

RACHEL MICHELE MACK is a healthcare provider. based in Penn laird, Virginia. specializing in QUALIFIED SPEECH LANGUAGE PATHOLOGIST. They hold a License No. 2204000482 (VA). The NPI Number for RACHEL MICHELE MACK is 1417564238

Main info

Female
6 Years Of Experience
Name
RACHEL MICHELE MACK
NPI
1417564238
Phone
(540) 289-3100
Address
368 Blazer Dr
Enumeration Date
25 September 2020
Last Update Date
25 September 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5409413100
Graduation Year
2020 (6 years ago)
PAC ID
8527592625
Group Practice PAC ID
9739107665
Professional Enrollment ID
I20241112003610
Address ID
VA229804400WA501XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

247 QUALIFIED SPEECH LANGUAGE PATHOLOGIST in VA

Provider Addresses for RACHEL MICHELE MACK

  • 368 Blazer Dr

    Penn Laird, VA 228469551

    Phone: (540) 289-3100

    Type: Location

  • 714 PARKVIEW AVE

    STAUNTON, VA 244012018

    Phone: (678) 412-5220

    Type: Mailing

  • 7648 MCGAHEYSVILLE RD

    PENN LAIRD, VA 228469779

    Phone: (540) 289-3401

    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.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-11-12

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
I20241112003610IQualified Speech Language PathologistVATBD

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 22846)

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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: 9739107665View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeVA
Occupational Therapist In Private PracticeFL
Physical Therapist In Private PracticeVA
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeVA
Qualified Speech Language PathologistVA
Occupational Therapist In Private PracticeVA
Qualified Speech Language PathologistSC
Physical Therapist In Private PracticeVA

Reviews

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Frequently asked questions

How do I look up RACHEL MICHELE MACK by NPI?
Use NPI 1417564238 when you need to reference RACHEL MICHELE MACK in forms, claims, or directories.
Does this profile mean RACHEL MICHELE MACK is currently active?
Yes — RACHEL MICHELE MACK appears active in the national provider directory.
Does RACHEL MICHELE MACK list a primary specialty?
If you are matching referrals, note Speech-Language Pathologist for RACHEL MICHELE MACK. Clinical services aligned with this taxonomy classification.
Does RACHEL MICHELE MACK practice in Virginia?
You will see Penn Laird, Virginia on file for RACHEL MICHELE MACK alongside any extra practice locations.
What if Penn Laird, Virginia seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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