Margaret Pack, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP61585524 Issued in WA

Practice address

5500 NE 109TH CT Ste a
Vancouver, WA 98662-6104

Phone

(971) 225-6970

NPI assigned

Mar 23, 2020

Last updated

Jul 24, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Natalie Paul Private Practice, PLLC

  • Clinic/Center
  • Vancouver, WA
  • NPI 1801526454
  NPD (past)
• Cascade AIDS Project

  dba Prism Health Belmont

  • Primary Care Clinic/Center
  • Portland, OR
  • NPI 1275076168
  NPD (past)
• Cascade AIDS Project

  dba Prism Health Morris

  • Primary Care Clinic/Center
  • Portland, OR
  • NPI 1336902394
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1584921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1275160111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 NE 109TH CT STE A",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986626104",
            "telephone_number": "503-234-9591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 NE 109TH CT STE A",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986626104",
            "telephone_number": "971-225-6970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACK",
        "first_name": "MARGARET",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-23",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "202000212RN",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61585524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pacific Phoenix Group PLLC (Pacific Phoenix Psychiatry)
• Pacific Surgical Specialists LLC
• Pacific Surgical Specialists, PLLC
• Pacific Trillium Counseling LLC
• Pacifica Sylvan Park LLC (Pacifica Senior Living Vancouver)
• Jimmy Padar
• Jessica L. Padget, ATC
• Alfred Padilla, MA, DCR, AAC
• Carol Padilla, LMP
• Dacia Padilla

• Family Nurse Practitioner in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Family Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.