Kathy Macnak, MSN, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

762268 Issued in TX

Practice address

888 Graham Dr
Ste 100
Tomball, TX 77375-3322

Phone

(574) 253-1728

Fax

(832) 559-8514

NPI assigned

Jan 30, 2006

Last updated

Aug 7, 2014By 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 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Nurse Practitioner

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Enhabit Home Health Home health agency, Houston, TX, CCN 673134
• St Martin Healthcare Services LLC Home health agency, Houston, TX, CCN 747044

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IHAHCA/Endpoint/IHAHCA

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.

• M O D & Associates Inc

  dba Bradley Healthcare

  • Family Nurse Practitioner
  • Tomball, TX
  • NPI 1972911329
  Medicare reassignment
• Vanguard Geriatrics Inc

  • Geriatric Medicine (Family Medicine) Physician
  • Houston, TX
  • NPI 1356300420
  NPD (past)

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

• DRC Health Systems, LP

  dba Enhabit Home Health

  • Home Health Agency
  • Houston, TX
  • NPI 1306001243
  Care Compare affiliation
• St. Martin Healthcare Services, LLC

  • Home Health Agency
  • Houston, TX
  • NPI 1831387505
  Care Compare affiliation

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407369600000",
    "number": "1437120128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1531",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773771531",
            "telephone_number": "574-253-1728",
            "fax_number": "832-559-8514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 GRAHAM DR",
            "address_2": "STE 100",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773753322",
            "telephone_number": "574-253-1728",
            "fax_number": "832-559-8514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACNAK",
        "first_name": "KATHY",
        "credential": "MSN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-30",
        "last_updated": "2014-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "762268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "282500206",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "883N93",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01092354",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Marie Lynch
• Karen Carter Lyon, PHD RN CNS
• M O D & Associates Inc (Bradley Healthcare)
• M. Atif Rahi, M.D., PA
• Anh Ngoc Ma, FNP
• Mai Vantage Dental PLLC (Restoration Smiles)
• Jennifer Mai, D.D.S.
• Majestic Dental PLLC (Majestic Dental)
• Alecia Walker Mallett, RN, NP-C
• Mamai Home Healthcare Corporation

• Family Nurse Practitioner in Tomball, TX
• Providers in Tomball, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2014; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.