Kamryn Alice Mack, PA-C
NPI 1619445228ActiveIndividual· Physician Assistant· Southfield, MI
Physician Assistant (PA-C) with Henry Ford Health Providence Hospital, practicing in Southfield, Michigan. Their prescriptions cost Medicare Part D more than their services did: $813,765 for 1,363 claims, against $13,432 paid for services in 2024. Medtronic, Inc. reported $24.33 in payments in 2025, mostly food and beverage. Lists Ascension Providence Hospital, Southfield and Novi and 1 other hospital as hospital affiliations.
Overview
| NPI | 1619445228 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | Yes |
| NPI issued | Nov 13, 2018 |
| Last updated in NPPES | Jan 6, 2022 |
| Certified by provider | Jan 6, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 5601009636 | MI |
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) | Enrolled Practitioner - Physician Assistant (MI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 137 |
|---|---|
| Services billed | 244 across 13 procedure codes |
| Paid by Medicare | $13,432 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,363 · 3,078 30-day fills |
|---|---|
| Patients | 290 |
| Total drug cost | $813,765 |
| Generic share | 24% of claims |
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Henry Ford Health Providence HospitalNovi, MI · 375 clinicians
Hospital affiliations
- Ascension Providence Hospital, Southfield and NoviSouthfield, MI
- Henry Ford Health HospitalDetroit, MI
Industry payments (Open Payments)
- 2025$24.33 · 1 payment from 1 company
- 2024$1,482 · 11 payments from 3 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Medtronic, Inc. | $24.33 | 1 |
What the 2025 payments were for
- Food and Beverage$24.33 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 128 physician assistants in Southfield · All physician assistants in Michigan