Krista Mae Mack, RN is a
Registered Nurse based in Dane, Wisconsin. Krista Mae Mack is licensed to practice in Wisconsin (license number 224880-30) and her current practice location is
7312 Springhelt Dr, Dane, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(770) 866-2722.
NPI number for Krista Mae Mack is 1861309593 and her current mailing address is 7312 Springhelt Dr, Dane, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1861309593.
Provider's Profile
| Full Name | Krista Mae Mack |
|---|
| Gender | Female |
|---|
| Speciality | Registered Nurse |
|---|
| Location | 7312 Springhelt Dr, Dane, Wisconsin |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1861309593
- Provider Enumeration Date: 08/26/2026
- Last Update Date: 08/26/2026
Medical Identifiers
Medical identifiers for Krista Mae Mack such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1861309593 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 163W00000X | Registered Nurse | 224880-30 (Wisconsin) | Primary |
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. Krista Mae Mack is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Krista Mae Mack, RN 7312 Springhelt Dr, Dane, WI 53529-9618 Ph: (770) 866-2722 | Krista Mae Mack, RN 7312 Springhelt Dr, Dane, WI 53529-9618 Ph: (770) 866-2722 |
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