MRS. MYRA MAZLIN (ARNP) – Family Nurse Practitioner, NPI 1265752562

MRS. MYRA MAZLIN (ARNP) is a healthcare provider. based in New smyrna beach, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials ARNP. They hold a License No. 1182592 (FL). The NPI Number for MRS. MYRA MAZLIN (ARNP) is 1265752562

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
MRS. MYRA MAZLIN (ARNP)
NPI
1265752562
Phone
(646) 296-0527
Address
450 Rockefeller Dr
Enumeration Date
9 June 2010
Last Update Date
18 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6463960527
Graduation Year
2009 (17 years ago)
PAC ID
1052590817
Group Practice PAC ID
0941722474
Professional Enrollment ID
I20250530002529
Address ID
TX79606XXXXABXXXXXXXXXX00
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:15State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for MRS. MYRA MAZLIN (ARNP)

  • 450 Rockefeller Dr

    New Smyrna Beach, FL 321688937

    Phone: (646) 296-0527

    Type: Location

  • 6524 INDIAN TRAIL DR

    LOXAHATCHEE, FL 334703404

    Phone: (561) 866-7026

    Type: Mailing

  • 7085 NW 84TH AVE

    PARKLAND, FL 330671014

    Phone: (954) 752-0635

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $104.

Total Amount is formed as General ($104) + Research ($0) + Ownership ($0) = $104.

Last reported payment date: 2024-04-24 • Largest payer in this snapshot: ABBVIE INC. ($104).

Total Amount

$104

General + Research + Ownership

Payments

1

Total payment records

General Amount

$104

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-24

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$104
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: 2025-05-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20110125001129INurse PractitionerFLTBD
I20250530002529INurse PractitionerTXTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32168)

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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: 0941722474View full group profile
NameSpecialtyState
Family PracticeIL
Nurse PractitionerTN
Family PracticePA
Family PracticeCA
Preventive MedicineKY

Reviews

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Frequently asked questions

What is MRS. MYRA MAZLIN (ARNP)'s NPI number?
MRS. MYRA MAZLIN (ARNP)'s NPI is 1265752562 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to MRS. MYRA MAZLIN (ARNP)?
You should see MRS. MYRA MAZLIN (ARNP) as active in CMS-hosted NPPES data.
What expertise is attributed to MRS. MYRA MAZLIN (ARNP)?
MRS. MYRA MAZLIN (ARNP)'s specialty line reads Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Florida is MRS. MYRA MAZLIN (ARNP) registered?
Use New Smyrna Beach, Florida as the headline location for MRS. MYRA MAZLIN (ARNP) here.
When was this NPI issued?
Enumeration for MRS. MYRA MAZLIN (ARNP) is noted as June 9, 2010 where the registry provides it.

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