Individual provider Active NPI

Katie Mack, CNP

  • Family Nurse Practitioner
  • Viborg, SD
National Provider Identifier
1326918616
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CP003917 Issued in SD
Practice address
315 N Washington St
Viborg, SD 57070-2002
Phone
(605) 326-5161
Fax
(605) 326-5196
NPI assigned
Nov 11, 2025
Last updated
Nov 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X CP003917 SD Primary

Addresses

Primary practice location

315 N Washington St
Viborg, SD 57070-2002

Mailing address

PO Box 368
Viborg, SD 57070-0368
Phone (605) 326-5161

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251126003914 SD Practitioner - Nurse Practitioner 0941792816 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pioneer Memorial Hospital and Health ServicesGroup PAC ID 9234042755, shared by 6 NPIs, 9 clinicians

Practice addresses (Care Compare)

103 W Pioneer
Viborg, SD 57070
Phone (605) 326-5201

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
CP003917SDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pioneer Memorial Hospital & Health Services CurrentSince Oct 20, 2025 Accepting new patients
Pioneer Memorial Hospital & Health Services CurrentSince Oct 20, 2025 Accepting new patients
Pioneer Memorial Hospital &Health Services Past Accepting new patients

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1762819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762819200000",
    "number": "1326918616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 368",
            "city": "VIBORG",
            "state": "SD",
            "postal_code": "570700368",
            "telephone_number": "605-326-5161",
            "fax_number": "605-326-5196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 N WASHINGTON ST",
            "city": "VIBORG",
            "state": "SD",
            "postal_code": "570702002",
            "telephone_number": "605-326-5161",
            "fax_number": "605-326-5196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACK",
        "first_name": "KATIE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-11",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SD",
            "license": "CP003917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Viborg, SD

Sources for this page

Verify at the official NPI Registry.