Alicia Mae Mack, FNP-C
Opted out of Medicare from October 2026 to October 2028. Nurse Practitioner, Family (FNP-C) with Spectra Health, practicing in Grand Forks, North Dakota. Their prescriptions cost Medicare Part D more than their services did: $189,233 for 2,395 claims, against $975.71 paid for services in 2024. Lists Altru Hospital as a hospital affiliation.
Overview
| NPI | 1225523004 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | FNP-C |
| Sole proprietor | No |
| NPI issued | Jun 25, 2018 |
| Last updated in NPPES | Feb 24, 2020 |
| Certified by provider | Feb 24, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | R39910 | ND |
| Registered Nurse | 163W00000X | 2344340 | MN |
| Registered Nurse | 163W00000X | R39910 | ND |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Opt-out | Opted out Oct 1, 2026 – Oct 1, 2028 |
| Can order and refer | Yes |
| Accepts assignment | Yes (participating) |
During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.
Medicare services in 2024
| Medicare patients | 19 |
|---|---|
| Services billed | 40 across 11 procedure codes |
| Paid by Medicare | $975.71 |
Part D prescriptions in 2024
| Prescriptions (claims) | 2,395 · 3,737 30-day fills |
|---|---|
| Patients | 97 |
| Total drug cost | $189,233 |
| Generic share | 88% of claims |
Education and affiliations
| Graduation year | 2018 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Spectra HealthGrand Forks, ND · 12 clinicians
Hospital affiliation
- Altru HospitalGrand Forks, ND
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 80 family nurse practitioners in Grand Forks · All family nurse practitioners in North Dakota