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

Michelle Angelina Mack, FNP

Individual provider Nurse Practitioner · NPI 1699191163

Michelle Angelina Mack, FNP is a Nurse Practitioner in Durham, North Carolina. Qualified in 2013, 13 years ago. Practices with Physiatry Consultants of Nc PLLC, a 74-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
13
Licensed in
NC
In the registry since
2014
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

2645 Meridian Pkwy Ste 323
Durham, NC 27713-4232
Phone: (984) 227-8902
Fax: (844) 813-6747
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 906 Bingham Dr, Fayetteville, NC 28304-2842 — (910) 213-3547

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence F0314142 (NC)
Nurse Practitioner Taxonomy 363L00000X · Licence 5006858 (NC)

Record details

NPI number1699191163
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedMarch 8, 2014
Last updated in NPPESSeptember 15, 2025
Certification dateSeptember 15, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Physiatry Consultants Of Nc Pllc — 74 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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