Brian Mack, FNP-C
Brian Mack, FNP-C is a Nurse Practitioner in San Francisco, CA, registered under NPI 1063979128. This provider registers 4 separate taxonomy codes, which usually means they practise across more than one recognised specialty.
Getting there
The practice address on file is 655 MONTGOMERY ST STE 810, San Francisco, CA 94111. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 5011498 | NC | Nurse Practitioner primary |
| 5011498 | NC | Pulmonary Disease Physician |
| 5011498 | NC | Sleep Medicine (Internal Medicine)… |
| 5011498 | NC | Primary Care Nurse Practitioner |
This provider holds licence 5011498 issued in NC. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Nurse Practitioner
- PAC ID
- 2062753551
Enrolled in Medicare 49 times, across 49 states:
| State | Enrollment ID | Provider type |
|---|---|---|
| North Carolina | I20190410001753 | Practitioner - Nurse Practitioner |
| Florida | I20220303000614 | Practitioner - Nurse Practitioner |
| Idaho | I20220322002480 | Practitioner - Nurse Practitioner |
| Alabama | I20220324000377 | Practitioner - Nurse Practitioner |
| Kansas | I20220324001773 | Practitioner - Nurse Practitioner |
| Colorado | I20220325000873 | Practitioner - Nurse Practitioner |
| Michigan | I20220328001302 | Practitioner - Nurse Practitioner |
| Georgia | I20220330001073 | Practitioner - Nurse Practitioner |
| West Virginia | I20220331001418 | Practitioner - Nurse Practitioner |
| Kentucky | I20220331002310 | Practitioner - Nurse Practitioner |
| Delaware | I20220401000062 | Practitioner - Nurse Practitioner |
| Virginia | I20220401000760 | Practitioner - Nurse Practitioner |
| Louisiana | I20220406001095 | Practitioner - Nurse Practitioner |
| New Hampshire | I20220414000161 | Practitioner - Nurse Practitioner |
| Oklahoma | I20220418001721 | Practitioner - Nurse Practitioner |
| Tennessee | I20220420002120 | Practitioner - Nurse Practitioner |
| Montana | I20220426000750 | Practitioner - Nurse Practitioner |
| Ohio | I20220427001783 | Practitioner - Nurse Practitioner |
| Maine | I20220502001550 | Practitioner - Nurse Practitioner |
| Vermont | I20220503000717 | Practitioner - Nurse Practitioner |
| Maryland | I20220503001686 | Practitioner - Nurse Practitioner |
| North Dakota | I20220511001249 | Practitioner - Nurse Practitioner |
| South Dakota | I20220517003054 | Practitioner - Nurse Practitioner |
| Texas | I20220519002374 | Practitioner - Nurse Practitioner |
| New Mexico | I20220519002431 | Practitioner - Nurse Practitioner |
| Iowa | I20220523000942 | Practitioner - Nurse Practitioner |
| Mississippi | I20220531001612 | Practitioner - Nurse Practitioner |
| Wyoming | I20220614001964 | Practitioner - Nurse Practitioner |
| Utah | I20220818002805 | Practitioner - Nurse Practitioner |
| Connecticut | I20220818003363 | Practitioner - Nurse Practitioner |
| Wisconsin | I20220826001947 | Practitioner - Nurse Practitioner |
| Alaska | I20220826002339 | Practitioner - Nurse Practitioner |
| California | I20220826002489 | Practitioner - Nurse Practitioner |
| New Jersey | I20220831000521 | Practitioner - Nurse Practitioner |
| Rhode Island | I20220831002690 | Practitioner - Nurse Practitioner |
| Missouri | I20221027001202 | Practitioner - Nurse Practitioner |
| District of Columbia | I20221110002176 | Practitioner - Nurse Practitioner |
| Illinois | I20221110002537 | Practitioner - Nurse Practitioner |
| Arkansas | I20221111000206 | Practitioner - Nurse Practitioner |
| Arizona | I20221116001496 | Practitioner - Nurse Practitioner |
| Hawaii | I20221116001630 | Practitioner - Nurse Practitioner |
| Nevada | I20221116001710 | Practitioner - Nurse Practitioner |
| Oregon | I20221116001806 | Practitioner - Nurse Practitioner |
| Indiana | I20221117001687 | Practitioner - Nurse Practitioner |
| South Carolina | I20221130002948 | Practitioner - Nurse Practitioner |
| New York | I20230119002781 | Practitioner - Nurse Practitioner |
| Pennsylvania | I20230203002712 | Practitioner - Nurse Practitioner |
| Massachusetts | I20230410000496 | Practitioner - Nurse Practitioner |
| Minnesota | I20230708000186 | Practitioner - Nurse Practitioner |
Medicare enrolment is recorded as approved under the provider type Practitioner - Nurse Practitioner. There are 49 separate enrolment records across 49 states (NC, FL, ID, AL, KS, CO, MI, GA, WV, KY, DE, VA, LA, NH, OK, TN, MT, OH, ME, VT, MD, ND, SD, TX, NM, IA, MS, WY, UT, CT, WI, AK, CA, NJ, RI, MO, DC, IL, AR, AZ, HI, NV, OR, IN, SC, NY, PA, MA, MN). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Nurse Practitioner covers
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. NUCC Health Care Provider Taxonomy, code 363L00000X
All registered taxonomy codes
This provider registers 4 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 5011498 | NC | primary |
| 207RP1001X | Pulmonary Disease Physician Pulmonary Disease | 5011498 | NC | |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician Sleep Medicine | 5011498 | NC | |
| 363LP2300X | Primary Care Nurse Practitioner Primary Care | 5011498 | NC |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1063979128 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Feb 25, 2019 |
| Last updated | Dec 19, 2023 |
| Status | Active |
| Sole proprietor | No |
| Credential | FNP-C |
| Practice address |
655 MONTGOMERY ST STE 810 San Francisco, CA 94111 (844) 847-8216 Fax (415) 520-9150 |
| Mailing address |
5001 QUINCEMOOR CT Greensboro, NC 27407 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 0 | 6 | 3 | 9 | 7 | 9 | 1 | 2 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 0 | 3 | 3 | 9 | 7 | 9 | 1 | 4 |
Sum = 62 · next multiple of 10 = 70 · check digit = 8 · actual last digit = 8
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.