ALEXA ELY MAZIUK (PA-C) – Surgical Physician Assistant, NPI 1053941625

ALEXA ELY MAZIUK (PA-C) is a healthcare provider. based in Boca raton, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA9112958 (FL). The NPI Number for ALEXA ELY MAZIUK (PA-C) is 1053941625

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
ALEXA ELY MAZIUK (PA-C)
NPI
1053941625
Phone
(828) 231-0368
Address
1001 NW 13TH ST STE 201
Enumeration Date
22 January 2020
Last Update Date
3 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2019 (7 years ago)
PAC ID
4183050024
Group Practice PAC ID
3870633753
Professional Enrollment ID
I20200212001488
Address ID
FL334429423DE3313XBLVD400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:6State licenses:1Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

Provider Addresses for ALEXA ELY MAZIUK (PA-C)

  • 1001 NW 13TH ST STE 201

    BOCA RATON, FL 334862269

    Phone: (828) 231-0368

    Type: Mailing

  • 800 MEADOWS RD

    MARCUS NEUROSCIENCE INSTITUTE

    BOCA RATON, FL 33486

    Phone: (561) 955-4600

    Type: Location

  • 246 E CAMINO REAL

    BOCA RATON, FL 334326132

    Phone: (828) 231-0368

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $313.

Total Amount is formed as General ($313) + Research ($0) + Ownership ($0) = $313.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Takeda Pharmaceuticals U.S.A., Inc. ($99).

Total Amount

$313

General + Research + Ownership

Payments

12

Total payment records

General Amount

$313

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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: 2020-02-12

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
I20200212001488IPhysician AssistantFLTBD

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
36556Insertion of non-tunneled central venous tube for infusion (5 years or older)1616$0
36620Insertion of artery tube for blood sampling or infusion through skin1615$0
View full utilization report →

Insurance plans in this area (ZIP 33486)

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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: 3870633753View full group profile
NameSpecialtyState
-FL
Physician AssistantFL
Physician AssistantFL
-FL
Physician AssistantFL
Physician AssistantFL
G A S T R O E N T E R O L O G YMA
U R O L O G YIA
-FL
Nurse PractitionerFL

Reviews

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Frequently asked questions

How is ALEXA ELY MAZIUK (PA-C) identified in CMS data?
CMS-hosted NPPES data lists ALEXA ELY MAZIUK (PA-C) with NPI 1053941625.
Is ALEXA ELY MAZIUK (PA-C) still practicing?
ALEXA ELY MAZIUK (PA-C) is currently listed as active in the public NPI registry.
What is ALEXA ELY MAZIUK (PA-C)'s primary classification?
Surgical Physician Assistant is the headline specialty for ALEXA ELY MAZIUK (PA-C) here. Clinical services aligned with this taxonomy classification.
Does ALEXA ELY MAZIUK (PA-C) list a practice location?
Patients near Boca Raton, Florida may find ALEXA ELY MAZIUK (PA-C) in results; validate coverage separately.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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