MR. NICOLAS RICHARD LAZAREWICZ (FNP) – Nurse Practitioner, NPI 1053540120

MR. NICOLAS RICHARD LAZAREWICZ (FNP) is a healthcare provider. based in Vacaville, California. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 18973 (CA). The NPI Number for MR. NICOLAS RICHARD LAZAREWICZ (FNP) is 1053540120

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
MR. NICOLAS RICHARD LAZAREWICZ (FNP)
NPI
1053540120
Phone
(707) 624-7500
Address
421 NUT TREE RD
Enumeration Date
9 July 2009
Last Update Date
11 April 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7076465500
Graduation Year
2009 (17 years ago)
PAC ID
8022291129
Group Practice PAC ID
3274010871
Professional Enrollment ID
I20110328000510
Address ID
CA945340000VA4520XDRXX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

16,360 NURSE PRACTITIONER in CA

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Provider Addresses for MR. NICOLAS RICHARD LAZAREWICZ (FNP)

  • Nut Tree Road, Elmira Square, Vacaville, Solano County, California, 95687, United States

    VACAVILLE, CA 956873508

    Phone: (707) 624-7500

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2011-03-28

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110328000510INurse PractitionerCATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes390301$0
99213Established patient office or other outpatient visit, 20-29 minutes173157$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report2727$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit2020$0
99442Telephone medical discussion with physician, 11-20 minutes1515$0
View full utilization report →

Insurance plans in this area (ZIP 95687)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3274010871View full group profile
NameSpecialtyState
Vascular SurgeryCA
Family PracticeCA
Nurse PractitionerCA
Physical Therapist In Private PracticeCA
Nurse PractitionerCA
Infectious DiseaseCA
O B S T E T R I C S/ G Y N E C O L O G YCA
Family PracticeCA
Physician AssistantCA
Nurse PractitionerCA

Reviews

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Frequently asked questions

What is the standard ID for MR. NICOLAS RICHARD LAZAREWICZ (FNP) in the U.S.?
In the U.S., MR. NICOLAS RICHARD LAZAREWICZ (FNP) is identified by NPI 1053540120.
Is MR. NICOLAS RICHARD LAZAREWICZ (FNP) currently accepting referrals based on NPI status?
Registry metadata lists MR. NICOLAS RICHARD LAZAREWICZ (FNP) as active.
Which specialty label fits MR. NICOLAS RICHARD LAZAREWICZ (FNP)?
NPPES ties MR. NICOLAS RICHARD LAZAREWICZ (FNP) to Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MR. NICOLAS RICHARD LAZAREWICZ (FNP)?
MR. NICOLAS RICHARD LAZAREWICZ (FNP) is associated with Vacaville, California in the same public data insurers reference.
Can I export MR. NICOLAS RICHARD LAZAREWICZ (FNP)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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