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

Molly Mack, ACNPC-AG

Individual provider Registered Nurse · NPI 1215763222

Molly Mack, ACNPC-AG is a Nurse Practitioner in Boston, Massachusetts. Qualified in 2024, 2 years ago. Practices with Massachusetts General Physicians Organization Inc, a 3,484-clinician group and accepts Medicare assignment. Licensed in Massachusetts and Utah.

Years since qualifying
2
Licensed in
MA, UT
In the registry since
2024
Specialties on file
4
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Practice location Address checks out

55 Fruit St
Boston, MA 02114-2621
Phone: (617) 726-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence RN2308942 (MA)
Registered Nurse Taxonomy 163W00000X · Licence 13915822-3102 (UT)
Registered Nurse Taxonomy 163W00000X · Licence RN2308942 (MA)
Nurse Practitioner Taxonomy 363L00000X · Licence 13915822-4405 (UT)

Record details

NPI number1215763222
Entity typeIndividual (Type 1)
GenderFemale
Credentials ACNPC-AG
Sole proprietorYes
NPI enumeratedSeptember 9, 2024
Last updated in NPPESFebruary 2, 2025
Certification dateFebruary 2, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Massachusetts General Physicians Organization Inc — 3484 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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