LISA MICHELLE MAZZAFERRO (DNP, APRN) – Family Nurse Practitioner, NPI 1174846380
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
24,232 NURSE PRACTITIONER in FL
Provider Addresses for LISA MICHELLE MAZZAFERRO (DNP, APRN)
7978 COOPER CREEK BLVD
SUITE 105
UNIVERSITY PARK, FL 342012141
Phone: (941) 359-8900
Fax: (941) 359-8990
Type: Mailing
1301 10th St E Ste A
Palmetto, FL 342214161
Phone: (850) 501-5554
Type: Location
603 7TH ST S STE 500
ST PETERSBURG, FL 337014734
Phone: (727) 893-6254
Type: Location
1301 10TH ST E STE A
PALMETTO, FL 342214161
Phone: (850) 501-5554
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $177.
Total Amount is formed as General ($177) + Research ($0) + Ownership ($0) = $177.
Last reported payment date: 2024-06-12 • Largest payer in this snapshot: Haemonetics Corporation ($115).
Total Amount
$177
General + Research + Ownership
Payments
3
Total payment records
General Amount
$177
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Haemonetics Corporation | $115 |
| Kerecis Limited | $48 |
| Ethicon US, LLC | $14 |
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: 2010-06-08
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 |
|---|---|---|---|---|
| I20100608000505 | I | Nurse Practitioner | FL | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 34201)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery, Vascular Surgery | FL | |
| Radiation Oncology | MI | |
| Nurse Practitioner | FL | |
| Family Practice | FL | |
| Physician Assistant | FL | |
| Internal Medicine | FL | |
| General Surgery, Critical Care (Intensivists) | FL | |
| Cardiovascular Disease (Cardiology), Internal Medicine | FL | |
| Family Practice | FL | |
| Physician Assistant | FL |
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