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

Kaitlin Marie Mack, CNP

Individual provider Family Nurse Practitioner · NPI 1790203370

Kaitlin Marie Mack, CNP is a Nurse Practitioner in Columbus, Ohio. Qualified in 2017, 9 years ago. Practices with Ohiohealth Corporation, a 2,289-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
9
Licensed in
OH
In the registry since
2017
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

800 McConnell Rd
Columbus, OH 43214-3463
Phone: (614) 566-5019
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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 APRN.CNP.021460 (OH)

Record details

NPI number1790203370
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNP
Sole proprietorYes
NPI enumeratedSeptember 5, 2017
Last updated in NPPESSeptember 5, 2017

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Ohiohealth Corporation — 2289 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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