Mrs Jessica Leigh Mack, ACNP - Medicare Nurse Practitioner in Winston Salem, NC

  1. Home
Mrs Jessica Leigh Mack, ACNP is a medicare enrolled "Nurse Practitioner" physician in Winston Salem, North Carolina. She graduated from medical school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Wake Forest University Health Sciences and her current practice location is 1 Medical Center Blvd, Winston Salem, North Carolina. You can reach out to her office (for appointments etc.) via phone at (336) 716-2011.

Mrs Jessica Leigh Mack is licensed to practice in North Carolina (license number 5012459) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1457994097.

Contact Information

Mrs Jessica Leigh Mack, ACNP
1 Medical Center Blvd,
Winston Salem, NC 27157-0001
(336) 716-2011
Not Available

Map and Direction




Physician's Profile

Full NameMrs Jessica Leigh Mack
GenderFemale
SpecialityNurse Practitioner
Experience5 Years
Location1 Medical Center Blvd, Winston Salem, North Carolina
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Jessica Leigh Mack graduated from medical school in 2019
  NPI Data:
  • NPI Number: 1457994097
  • Provider Enumeration Date: 10/27/2019
  • Last Update Date: 10/29/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 5698108389
  • Enrollment ID: I20191211001047

Medical Identifiers

Medical identifiers for Mrs Jessica Leigh Mack such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457994097NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0200XInternal Medicine - Critical Care Medicine 254774 (North Carolina)Secondary
363LC0200XNurse Practitioner - Critical Care Medicine 5012459 (North Carolina)Secondary
363L00000XNurse Practitioner 5012459 (North Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
North Carolina Baptist HospitalWinston-salem, NCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Wake Forest University Health Sciences44865649521987

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Jessica Leigh Mack allows following entities to bill medicare on her behalf.
Entity NameWake Forest University Health Sciences
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003803032
PECOS PAC ID: 4486564952
Enrollment ID: O20031105000436
Entity NameCarolinas Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275774333
PECOS PAC ID: 4789597477
Enrollment ID: O20031110000116
Entity NameNovant Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366409492
PECOS PAC ID: 1153234893
Enrollment ID: O20031121000692
Entity NameThe Charlotte-mecklenburg Hospital Authority
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669738829
PECOS PAC ID: 2961310685
Enrollment ID: O20100309000605

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Jessica Leigh Mack is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Jessica Leigh Mack, ACNP
5515 Old Meadow Rd,
Charlotte, NC 28227-2677

Ph: (828) 289-9211		Mrs Jessica Leigh Mack, ACNP
1 Medical Center Blvd,
Winston Salem, NC 27157-0001

Ph: (336) 716-2011

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.