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

Mrs. Melissa Ann Mack, ACNP-BC

Individual provider Acute Care Nurse Practitioner · NPI 1912282096

Mrs. Melissa Ann Mack, ACNP-BC is a Nurse Practitioner in Detroit, Michigan. Qualified in 2011, 15 years ago. Practices with Primedical Healthcare Associates PLLC, an 8-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
15
Licensed in
MI
In the registry since
2011
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Practice location Address checks out

6501 Greenfield Rd
Detroit, MI 48228-4780
Phone: (313) 885-6833
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 4704259890 (MI)

Record details

NPI number1912282096
Entity typeIndividual (Type 1)
GenderFemale
Credentials ACNP-BC
Sole proprietorYes
NPI enumeratedOctober 20, 2011
Last updated in NPPESMay 13, 2026
Certification dateMay 13, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Primedical Healthcare Associates Pllc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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