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Deactivated NPI 1649335233 Deactivated / Inactive NPI Male Practitioner

Joel D Mack , NP

Nurse Practitioner • Texarkana, TX

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Joel Mack has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 26, 2006
NPI Deactivation Date June 25, 2026
Total Practice Duration ~20 Years of Practice (2006 – 2026)

Professional Overview & Biography Verified Profile Summary

Joel Mack, NP was a registered Nurse Practitioner practicing in Texarkana, TX. Throughout an active medical career spanning 20 years, Joel Mack provided care at the practice location at 3515 RICHMOND RD until profile deactivation on 2026-06-25.

Historical Medicare Part B clinical services included injection, dexamethasone sodium phosphate, 1 mg, established patient outpatient office visit, injection beneath the skin or into muscle for therapy, diagnosis, or prevention. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

3515 Richmond Rd

Texarkana, TX 75503

Telephone 9037919355
Associated Practice Facility / Clinic
🏢 Healthcare Express, Llp Facility NPI 1427120310

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Texarkana, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.3 Yrs
State Avg: 9.7 Yrs
Regional Practice Density
31 Specialists

Practicing in Texarkana, TX (4894 Statewide)

Telehealth Adoption Rate
25.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
73.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2017)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg
773 60 $20.00 $0.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
233 146 $245.00 $85.06
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention
143 69 $69.00 $19.79
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
122 122 $405.00 $131.29
J0696 Injection, ceftriaxone sodium, per 250 mg
67 19 $20.37 $0.61
81003 Automated urinalysis test
34 29 $35.00 $3.02
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme
30 24 $10.00 $0.14
87804 Detection test by immunoassay with direct visual observation for influenza virus
30 14 $74.00 $16.11
J1885 Injection, ketorolac tromethamine, per 15 mg
28 12 $12.86 $0.58
94640 Inhalation treatment for airway obstruction or sputum production
27 24 $70.00 $13.77
J1030 Injection, methylprednisolone acetate, 40 mg
23 17 $30.00 $5.58
71020 X-ray of chest, 2 views, front and side
13 13 $147.00 $20.69

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License TX 618334

(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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

20 Associated Practitioners
Sally Thompson , FNP-C

Nurse Practitioner

NPI 1003249558

Family Nurse Practitioner (Certified)

John Bailey , APRN-CNP, FNP-BC

Nurse Practitioner - Family

NPI 1063143329

Advanced Practice Registered Nurse - Certified Nurse Practitioner, Family Nurse Practitioner (Board Certified)

Chad Jennings , MS, OTR

Occupational Therapist

NPI 1104302629

Master of Science, Occupational Therapist Registered

Steven Foltz , FNP-BC

Nurse Practitioner - Family

NPI 1134174329

Family Nurse Practitioner (Board Certified)

Tonile Pounds , FNP

Nurse Practitioner - Family

NPI 1215330550

Family Nurse Practitioner

Ronald Russette , APRN

Nurse Practitioner - Family

NPI 1215478367

Advanced Practice Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated June 25, 2026

Record deactivated on June 25, 2026

NPI Profile Active July 12, 2012

NPI status registered as active in NPPES database

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Updated Practice Location July 12, 2012

Registered at 3515 RICHMOND RD, TEXARKANA, TX 75503 (Tel: 9037919355)

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Updated Business Mailing Address July 12, 2012

Registered at 3005 PRINCETON DR, PLANO, TX 750757655 (Tel: 2144703174)

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Provider Name / Credentials Updated July 12, 2012

Recorded as JOEL MACK, NP

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 12, 2012

Nurse Practitioner (License #618334 in TX)

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Initial NPI Registration & Enumeration December 26, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1649335233
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 26, 2006
Last Update: July 12, 2012
Deactivation Date: June 25, 2026

Mailing Address

3005 Princeton Dr

Plano, TX 750757655

Phone: 2144703174

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.