Kimberlee Mack, PA-C
NPI 1396284592 · Physician Assistant · El Paso, TX
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kimberlee Mack, PA-C is a Physician Assistant provider in El Paso, TX (NPI 1396284592).
Provider details
- NPI number
- 1396284592
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- Yes
- License
- PA11188 (TX)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2017-02-21
- Last updated
- 2017-10-17
Frequently asked questions
- What is Kimberlee Mack's NPI number?
- Kimberlee Mack's National Provider Identifier (NPI) is 1396284592, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kimberlee Mack's specialty?
- Kimberlee Mack is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Kimberlee Mack located?
- Kimberlee Mack's practice location on file with NPPES is 400 Shadow Mountain Dr, El Paso, TX 79912-4030.
- What is Kimberlee Mack's phone number?
- The practice phone number listed in the NPPES registry for Kimberlee Mack is (915) 591-2704.
- Does Kimberlee Mack accept Medicare?
- Kimberlee Mack is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kimberlee Mack's NPI active?
- Yes — Kimberlee Mack's NPI (1396284592) is active in the NPPES registry as of the last update on 2017-10-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.