Ardie Vanessa Pack-Mabien, CRNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

1-050071 Issued in AL

Practice address

1601 Center St
Ste 1S
Mobile, AL 36604-1512

Phone

(251) 410-5437

Fax

(251) 434-3852

NPI assigned

May 24, 2006

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 4

Medicare fee-for-service enrollment

Enrolled in AL

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, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

USA Health Physician Billing Services LLCGroup PAC ID 9931436912, 342 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• USA Health University Hospital Hospital, Mobile, AL, CCN 010087

Merit-based Incentive Payment System (MIPS)

Final score

95.28 of 100Reported as group

Quality

85.81

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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

• USA Health Physician Billing Services LLC

  • Internal Medicine Physician
  • Mobile, AL
  • NPI 1720645468
  Medicare reassignment Care Compare group NPD
• University of South Alabama

  • Family Medicine Physician
  • Mobile, AL
  • NPI 1992746838

  Nurse Practitioner

  Medicare reassignment NPD
• University of South Alabama

  • Clinical Medical Laboratory
  • Mobile, AL
  • NPI 1497859052
  NPD
• University of South Alabama

  • Internal Medicine Physician
  • Mobile, AL
  • NPI 1700241015
  NPD
• USA Health - Mci Business Services LLC

  • Hematology & Oncology Physician
  • Mobile, AL
  • NPI 1952972812
  NPD
• USA Health Physician Billing Services LLC

  • Diagnostic Radiology Physician
  • Mobile, AL
  • NPI 1609434067
  NPD
• USA Health Physician Billing Services LLC

  • Radiation Oncology Physician
  • Mobile, AL
  • NPI 1871150508
  NPD

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

• University of South Alabama

  • General Acute Care Hospital
  • Mobile, AL
  • NPI 1063468072
  Care Compare affiliation
• University of South Alabama

  • General Acute Care Hospital
  • Mobile, AL
  • NPI 1972138022
  Care Compare affiliation

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488499200000",
    "number": "1891740981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40480",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366400480",
            "telephone_number": "251-410-5437",
            "fax_number": "251-434-3852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 CENTER ST",
            "address_2": "STE 1S",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366041512",
            "telephone_number": "251-410-5437",
            "fax_number": "251-434-3852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACK-MABIEN",
        "first_name": "ARDIE",
        "middle_name": "VANESSA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-24",
        "last_updated": "2017-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-050071",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00124955",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "304248100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "51505390",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891003660",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Ann Pace, PT, DPT
• Lucille Pace, LMSW
• Antonio Lim Pacheco, M.D.
• Vanessa Pacheco
• Pacifico Enterprise LLC
• Taronda Packer
• Lisa Latonia Padgett-Hughes, (HOND), CMHWC, CLC
• Joseph Pafumy III, M.D.
• Luther L Page
• Sachin G Pai, MD

• Nurse Practitioner in Mobile, AL
• Providers in Mobile, AL by specialty
• Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2017; 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.