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

Mrs. Kelly S Mack, APRNBC

Individual provider Nurse Practitioner · NPI 1457471542

Mrs. Kelly S Mack, APRNBC is a Nurse Practitioner in Madison, Wisconsin. Qualified in 2003, 23 years ago. Practices with University of Wisconsin Medical Foundation Inc, a 2,536-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Wisconsin.

Years since qualifying
23
Licensed in
WI
In the registry since
2007
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Practice location Address checks out

6001 Research Park Blvd
Madison, WI 53719
Phone: (608) 232-3333
Fax: (608) 231-9011
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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 2791033 (WI)

Record details

NPI number1457471542
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRNBC
Sole proprietorNo
NPI enumeratedMarch 30, 2007
Last updated in NPPESApril 28, 2009

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice University Of Wisconsin Medical Foundation Inc — 2536 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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