Kelly Mack, PA-C
NPI 1396813960 · Medical Physician Assistant · Prince Frederick, MD
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kelly Mack, PA-C is a Medical Physician Assistant provider in Prince Frederick, MD (NPI 1396813960).
Provider details
- NPI number
- 1396813960
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- PA18061 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
1,045 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. 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 .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Destruction of Precancer Skin Growth, 2-14 Growths17003 | 407 | $6 |
| Destruction of Precancer Skin Growth, 1 Growth17000 | 130 | $44 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 106 | $81 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 106 | $114 |
| Destruction of Skin Growth, 1-14 Growths17110 | 91 | $100 |
| Biopsy of Related Skin Growth, First Growth |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 15 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Triamcinolone Acetonide | 71 | 52 |
| Clobetasol Propionate | 53 | 36 |
| Ketoconazole | 44 | 21 |
| Mupirocin | 41 | 33 |
| Hydrocortisone | 33 | 24 |
| Nystatin | 31 | 18 |
| Clindamycin Phosphate | 29 | 20 |
| Apremilastbrand: Otezla | 22 | — |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$3,683 across 184 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-12-01
- Last updated
- 2019-08-13
Frequently asked questions
- What is Kelly Mack's NPI number?
- Kelly Mack's National Provider Identifier (NPI) is 1396813960, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelly Mack's specialty?
- Kelly Mack is listed in the NPPES registry with a primary specialty of Medical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Kelly Mack located?
- Kelly Mack's practice location on file with NPPES is 995 N. Prince Frederick Blvd, Prince Frederick, MD 20678.
- What is Kelly Mack's phone number?
- The practice phone number listed in the NPPES registry for Kelly Mack is (410) 535-5855.
- Does Kelly Mack accept Medicare?
- Kelly Mack is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kelly Mack's NPI active?
- Yes — Kelly Mack's NPI (1396813960) is active in the NPPES registry as of the last update on 2019-08-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.