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

Mrs. Alicia Mae Mack, FNP-C

Individual provider Registered Nurse · NPI 1225523004

Mrs. Alicia Mae Mack, FNP-C is a Nurse Practitioner in Grand Forks, North Dakota. Qualified in 2018, 8 years ago. Practices with Spectra Health, a 12-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota and North Dakota.

Years since qualifying
8
Licensed in
MN, ND
In the registry since
2018
Specialties on file
3
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

212 S 4th St Ste 301 Spectra Health
Grand Forks, ND 58201
Phone: (701) 757-2100
Fax: (701) 757-2813
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 607 Towner Ave, Larimore, ND 58251-4501 — (701) 318-9399

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence R39910 (ND)
Registered Nurse Taxonomy 163W00000X · Licence 2344340 (MN)
Registered Nurse Taxonomy 163W00000X · Licence R39910 (ND)

Record details

NPI number1225523004
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedJune 25, 2018
Last updated in NPPESFebruary 24, 2020
Certification dateFebruary 24, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Spectra Health — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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