Carmela Mack, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3017267 Issued in KY

Practice address

901 Mill View CT
Hopkinsville, KY 42240-5251

Phone

(270) 875-1395

NPI assigned

May 12, 2022

Sex

Female

Sole proprietor

Yes

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 KY

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, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pai Participant 1 LLCGroup PAC ID 8123351954, 174 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Owensboro Health Muhlenberg Community Hospital Hospital, Greenville, KY, CCN 180004

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Pai Participant 1 LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Chillicothe, OH
  • NPI 1093371312

  KY

  Medicare reassignment Care Compare group
• 360Care Services of Kentucky LLC

  • Social Worker
  • Louisville, KY
  • NPI 1669113023
  Medicare reassignment NPD
• Bell Clinic PLLC

  • Family Medicine Physician
  • Elkton, KY
  • NPI 1790935997
  Medicare reassignment NPD
• Jennie Stuart Medical Center Inc

  • General Acute Care Hospital
  • Hopkinsville, KY
  • NPI 1235139312

  Family

  Medicare reassignment NPD
• Southern Kentucky Primary Care, P.S.C.

  • Rural Health Clinic/Center
  • Russellville, KY
  • NPI 1003327412
  Medicare reassignment NPD
• 360Care Services of Kentucky LLC

  • Nurse Practitioner
  • Louisville, KY
  • NPI 1174394852
  NPD
• Jennie Stuart Medical Center Inc

  • Family Nurse Practitioner
  • Hopkinsville, KY
  • NPI 1790086767
  NPD
• Jennie Stuart Medical Center Inc

  • Rural Health Clinic/Center
  • Hopkinsville, KY
  • NPI 1912627605
  NPD

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

• Oh Muhlenberg, LLC

  • General Acute Care Hospital
  • Greenville, KY
  • NPI 1407800436
  Care Compare affiliation
• Oh Muhlenberg, LLC

  • Pulmonary Disease Physician
  • Greenville, KY
  • NPI 1992001044

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1652313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652313600000",
    "number": "1992441869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 MILL VIEW CT",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422405251",
            "telephone_number": "270-875-1395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 MILL VIEW CT",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422405251",
            "telephone_number": "270-875-1395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACK",
        "first_name": "CARMELA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-12",
        "last_updated": "2022-05-12",
        "certification_date": "2022-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3017267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maanya LLC
• Maanya LLC
• Maanya LLC
• Monica Maberry
• Marcy Dawn Mabry
• Tia Maddox
• Arti Mahajan, PHARM.D
• Manoj H Majmudar, MD
• Charisma Malveaux
• Manco Family Chiropractic P.L.L.C.

• Family Nurse Practitioner in Hopkinsville, KY
• Providers in Hopkinsville, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2022; 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.