DR. MARY THERESA IZZO (PHD, ARNP) – Family Nurse Practitioner, NPI 1023145752

DR. MARY THERESA IZZO (PHD, ARNP) is a healthcare provider. based in Deland, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials PHD, ARNP. They hold a License No. 0876802 (FL). The NPI Number for DR. MARY THERESA IZZO (PHD, ARNP) is 1023145752

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARY THERESA IZZO (PHD, ARNP)
NPI
1023145752
Phone
(386) 740-7080
Address
999 W PLYMOUTH AVE
Enumeration Date
28 February 2007
Last Update Date
4 April 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9046770453
Graduation Year
2004 (22 years ago)
PAC ID
3274775911
Group Practice PAC ID
1254222565
Professional Enrollment ID
I20130809000236
Address ID
FL321746302OR77XXXBLVD400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for DR. MARY THERESA IZZO (PHD, ARNP)

  • 999 W PLYMOUTH AVE

    DELAND, FL 327203134

    Phone: (386) 740-7080

    Fax: (386) 734-0821

    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)

CMS reports 42 Open Payments records for all available years, with a total value of $1,067.

Total Amount is formed as General ($1,067) + Research ($0) + Ownership ($0) = $1,067.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: ABBVIE INC. ($178).

Total Amount

$1,067

General + Research + Ownership

Payments

42

Total payment records

General Amount

$1,067

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-03

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2013-08-09

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
I20130809000236INurse PractitionerFLTBD

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 minutes621285$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit194194$0
G0444Annual depression screening, 5 to 15 minutes174174$0
36415Insertion of needle into vein for collection of blood sample12274$0
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month8925$0
View full utilization report →

Insurance plans in this area (ZIP 32720)

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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: 1254222565View full group profile
NameSpecialtyState
Nurse PractitionerFL
Nurse PractitionerFL
Physician AssistantFL
Geriatric Medicine, Family PracticeFL
Family PracticeFL
Nurse PractitionerFL
Nurse PractitionerFL
Internal MedicineFL
Physician AssistantFL
-FL

Reviews

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Frequently asked questions

How do payers reference DR. MARY THERESA IZZO (PHD, ARNP)?
For DR. MARY THERESA IZZO (PHD, ARNP), use NPI 1023145752 as the unique 10-digit identifier.
Is DR. MARY THERESA IZZO (PHD, ARNP) still an active registrant?
DR. MARY THERESA IZZO (PHD, ARNP) carries an active NPI according to the public dataset.
What expertise is attributed to DR. MARY THERESA IZZO (PHD, ARNP)?
DR. MARY THERESA IZZO (PHD, ARNP)'s specialty line reads Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. MARY THERESA IZZO (PHD, ARNP)?
Travel planning: use Deland, Florida as the reference point for DR. MARY THERESA IZZO (PHD, ARNP), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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