Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Mrs. Kelly Leigh Mack, PA-C

Individual provider Medical Physician Assistant · NPI 1396813960

Mrs. Kelly Leigh Mack, PA-C is a Physician Assistant in Prince Frederick, Maryland. Qualified in 2005, 21 years ago. Practices with Elite Dermatology, PLLC, a 26-clinician group and accepts Medicare assignment. Licensed in California and Texas.

Years since qualifying
21
Licensed in
CA, TX
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

995 N Prince Frederick Blvd Ste 204
Prince Frederick, MD 20678
Phone: (410) 535-5855
Fax: (410) 535-6574
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA07662 (TX)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA18061 (CA)

Record details

NPI number1396813960
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 1, 2006
Last updated in NPPESAugust 13, 2019

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Elite Dermatology, Pllc — 26 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients236
Services billed 1,133 a service is one billed item, such as a visit, a test or a procedure
Average patient age73

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Food and Beverage $2,768 152 payments · a meal or drink at a meeting or visit, not a fee
Education $142 2 payments · educational material or training, not a fee

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Colleagues at Elite Dermatology, PLLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 26 clinicians in the practice; 12 are shown here.

Other providers in Prince Frederick