Carrie Mackanick, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP027849 Issued in PA

Practice address

74 York Dr
Pittsburgh, PA 15214-1141

Phone

(814) 937-4788

NPI assigned

Jul 18, 2023

Last updated

Jul 18, 2023By 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

Medicare fee-for-service enrollment

Enrolled in PA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wellbe Senior Medical Group of Pennsylvania PC

  • Internal Medicine Physician
  • Pittsburgh, PA
  • NPI 1255089132
  NPD

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

{
    "created_epoch": "1689638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689638400000",
    "number": "1932889664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 YORK DR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152141141",
            "telephone_number": "814-937-4788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 YORK DR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152141141",
            "telephone_number": "814-937-4788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKANICK",
        "first_name": "CARRIE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-18",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP027849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jackie J Mack
• Meghan Lou Mack, M.D.
• Molly Claire Mack, MD, MS
• Omarie J Mack, RBT
• Rachael Christine Mack, OTR/L
• Matthew Ethan Macken, MD
• Misty L Macken, PA-C
• Suzanne Mackenzie
• Christine Lynn Mackey, MD
• Daniel Strickler Mackey, DO, MPH

• Family Nurse Practitioner in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; 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.