Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Annika Simone Mack, DNP, FNP-BC

Individual provider Critical Care Medicine Registered Nurse · NPI 1396485520

Annika Simone Mack, DNP, FNP-BC is a Nurse Practitioner in Tucson, Arizona. Qualified in 2022, 4 years ago. Practices with El Rio Santa Cruz Neighborhood Health Center, Inc, a 283-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
4
Licensed in
AZ
In the registry since
2022
Specialties on file
2
What do these letters mean?
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

3655 E Grant Rd
Tucson, AZ 85716-2933
Phone: (520) 670-3909
Fax: (520) 309-2560
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 288126 (AZ)
Critical Care Medicine Registered Nurse Taxonomy 163WC0200X · Licence 22115464 (AZ)

Record details

NPI number1396485520
Entity typeIndividual (Type 1)
GenderFemale
Credentials DNP , FNP-BC
Sole proprietorNo
NPI enumeratedMarch 29, 2022
Last updated in NPPESFebruary 28, 2025
Certification dateFebruary 28, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice El Rio Santa Cruz Neighborhood Health Center, Inc. — 283 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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