Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Charisse L Mack, PA
Physician Assistant in Boise, ID · enumerated 2006.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1801973615
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Registry record
Entity type Individual (Type 1)
Name Charisse L Mack
Credential PA
Sex Female
Practice address 6140 Curtisian Ave, Ste 400, Boise, ID, 83704
Phone (208) 367-3500
Fax (208) 367-2968
Enumeration date Nov 1, 2006
Last updated in NPPES Mar 4, 2013
Taxonomy & licenses
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PA-632 (ID) Primary
363AS0400X Surgical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PA632 (ID) Secondary
PA · Physician Assistant: A licensed clinician who practices medicine in collaboration with physicians, trained in a graduate PA program.
About the PA credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0214786 | Other | ID | STATE OF WA DOL |
| PAD65 | Other | ID | BLUE CROSS OF ID |
| 000010158697 | Other | ID | BLUE SHIELD OF ID |
| 807590500 | Medicaid | ID | - |
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
Where does Charisse Mack practice?
The practice location on file with NPPES is in Boise, ID. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Charisse Mack?
The National Provider Identifier (NPI) for Charisse Mack is 1801973615, a Type 1 (individual) record in the CMS NPPES registry.
Other providers at this practice address
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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-03-04.