DEIRDRE ALICE MAZZETTO (NP, AGACNP-BC) – Acute Care Nurse Practitioner, NPI 1023580446
Acute Care Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
16,360 NURSE PRACTITIONER in CA
Provider Addresses for DEIRDRE ALICE MAZZETTO (NP, AGACNP-BC)
391 HOWE AVE STE 150
SACRAMENTO, CA 958255513
Phone: (916) 678-5280
Type: Mailing
2800 L St Fl 6
Sacramento, CA 958165616
Phone: (916) 887-4040
Fax: (916) 887-4045
Type: Location
El Dorado Hills Boulevard, El Dorado Hills, El Dorado County, California, 95762, United States
EL DORADO HILLS, CA 95762
Phone: (916) 941-9222
Type: Location
220 E 13TH ST
MERCED, CA 953416250
Phone: (209) 723-2122
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $100.
Total Amount is formed as General ($100) + Research ($0) + Ownership ($0) = $100.
Last reported payment date: 2024-04-09 • Largest payer in this snapshot: ABBVIE INC. ($85).
Total Amount
$100
General + Research + Ownership
Payments
5
Total payment records
General Amount
$100
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $85 |
| Gilead Sciences, Inc. | $15 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2019-07-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190726002136 | I | Nurse Practitioner | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 83036 | Hemoglobin a1c level | 15 | 13 | $0 |
| 81003 | Automated urinalysis test | 13 | 12 | $0 |
Insurance plans in this area (ZIP 95825)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | CA | |
| - | CA | |
| Family Practice | CA | |
| - | CA | |
| - | CA | |
| Nurse Practitioner | CA | |
| Physician Assistant | CA | |
| Physician Assistant | CA | |
| - | CA | |
| - | CA |
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