MR. JOHN WILLIAM MAZZOCHI (PA-C) – Physician Assistant, NPI 1457914178

MR. JOHN WILLIAM MAZZOCHI (PA-C) is a healthcare provider. based in Lakeland, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 7420 (AZ). The NPI Number for MR. JOHN WILLIAM MAZZOCHI (PA-C) is 1457914178

Main info

Male
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
MR. JOHN WILLIAM MAZZOCHI (PA-C)
NPI
1457914178
Phone
Not provided
Address
1324 LAKELAND HILLS BLVD
Enumeration Date
18 April 2019
Last Update Date
23 June 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3233753546
Graduation Year
2018 (8 years ago)
PAC ID
6204168388
Group Practice PAC ID
9335504539
Professional Enrollment ID
I20241205002987
Address ID
CA903014509IN301XXAVEX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:7State licenses:3Digital endpointsOther names

9,232 PHYSICIAN ASSISTANT in FL

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Provider Addresses for MR. JOHN WILLIAM MAZZOCHI (PA-C)

  • Lakeland Regional Health Medical Center, 1324, Lakeland Hills Boulevard, Lakeland, Polk County, Florida, 33805, United States

    LAKELAND, FL 338054543

    Phone:

    Type: Mailing

  • 3525 Lakeland Hills Blvd

    Lakeland, FL 338051965

    Phone: (863) 284-5020

    Fax: (863) 284-5912

    Type: Location

  • 240 E PALM AVE APT 317

    BURBANK, CA 915021245

    Phone: (480) 490-5932

    Type: Mailing

  • 501 S BUENA VISTA ST

    BURBANK, CA 915054809

    Phone: (480) 490-5932

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $300.

Total Amount is formed as General ($300) + Research ($0) + Ownership ($0) = $300.

Last reported payment date: 2024-01-09 • Largest payer in this snapshot: PROCEPT BioRobotics Corporation ($141).

Total Amount

$300

General + Research + Ownership

Payments

8

Total payment records

General Amount

$300

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-09

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: 2024-12-05

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
I20241205002987IPhysician AssistantCATBD

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 33805)

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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: 9335504539View full group profile
NameSpecialtyState
Nurse PractitionerTX
Nurse PractitionerCA
Physician AssistantCA
Physician AssistantCA
Nurse PractitionerTX
Physician AssistantCA
Physician AssistantCA
Physician AssistantCA
Nurse PractitionerNV
Nurse PractitionerCA

Reviews

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Frequently asked questions

What NPI should I save for MR. JOHN WILLIAM MAZZOCHI (PA-C)?
Save NPI 1457914178 if you need a stable reference for MR. JOHN WILLIAM MAZZOCHI (PA-C).
Is MR. JOHN WILLIAM MAZZOCHI (PA-C) active in the national directory?
MR. JOHN WILLIAM MAZZOCHI (PA-C)'s public NPI profile is in an active state.
Does MR. JOHN WILLIAM MAZZOCHI (PA-C) list a primary specialty?
If you are matching referrals, note Physician Assistant for MR. JOHN WILLIAM MAZZOCHI (PA-C). Clinical services aligned with this taxonomy classification.
What location metadata exists for MR. JOHN WILLIAM MAZZOCHI (PA-C)?
The page summarizes Lakeland, Florida for MR. JOHN WILLIAM MAZZOCHI (PA-C); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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