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Active NPI 1447190129 Individual Practitioner Female Practitioner

Marisa Dianna Mack

Nurse Practitioner • Tacoma, WA

Professional Overview & Biography Verified Profile Summary

Marisa Mack is a registered healthcare professional specializing in Nurse Practitioner in Tacoma, WA. Practice services are available at 12180 PARK AVE S under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12180 Park Ave S

Tacoma, WA 984470001

Telephone 2535357411

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Tacoma, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.0 Yrs
State Avg: 11.0 Yrs
Regional Practice Density
162 Specialists

Practicing in Tacoma, WA (2339 Statewide)

Telehealth Adoption Rate
13.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-03-31
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License WA RN61087194

(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

10 Associated Practitioners
Leah Manigbas

Registered Nurse

NPI 1043154313
Brooke Passmore

Registered Nurse

NPI 1376417204
Phung Tran

Registered Nurse

NPI 1407790777
Chrysta Storm

Marriage & Family Therapist

NPI 1558233890
Ashley Blackwell

Social Worker

NPI 1568334803
Savannah Rogers , RN

Registered Nurse

NPI 1649144577

Registered Nurse

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active March 31, 2026

NPI status registered as active in NPPES database

📍
Updated Practice Location March 31, 2026

Registered at 12180 PARK AVE S, TACOMA, WA 984470001 (Tel: 2535357411)

📍
Updated Business Mailing Address March 31, 2026

Registered at 12180 PARK AVE S, TACOMA, WA 984470001 (Tel: 2535357411)

👤
Provider Name / Credentials Updated March 31, 2026

Recorded as MARISA MACK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 31, 2026

Nurse Practitioner (License #RN61087194 in WA)

🟢
Initial NPI Registration & Enumeration March 31, 2026

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: 1447190129
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 31, 2026
Last Update: March 31, 2026
Sole Proprietor: No

Mailing Address

12180 Park Ave S

Tacoma, WA 984470001

Phone: 2535357411

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.