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

Mrs. Lisa Pascal Mack, FNP

Individual provider Nurse Practitioner · NPI 1568822252

Mrs. Lisa Pascal Mack, FNP is a Nurse Practitioner in Charleston, South Carolina. Qualified in 2015, 11 years ago. Practices with University Medical Associates of the Medical University of South Carol, a 1,640-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California, Massachusetts, New Hampshire and South Carolina.

Years since qualifying
11
Licensed in
CA, MA, NH, SC
In the registry since
2016
Specialties on file
4
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

1483 Tobias Gladson Blvd Ste 209
Charleston, SC 29407
Phone: (843) 792-4113
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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 25487 (SC)
Nurse Practitioner Taxonomy 363L00000X · Licence 082279-23 (NH)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence RN2310334 (MA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence NP95003696 (CA)

Record details

NPI number1568822252
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorYes
NPI enumeratedFebruary 24, 2016
Last updated in NPPESDecember 9, 2025
Certification dateDecember 9, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice University Medical Associates Of The Medical University Of South Carol — 1640 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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