JOHN M MAZZARA (CRNA) – Certified Registered Nurse Anesthetist, NPI 1720131279

JOHN M MAZZARA (CRNA) is a healthcare provider. based in Rochester hills, Michigan. specializing in Certified Registered Nurse Anesthetist. They hold the professional credentials CRNA. They hold a License No. 4704131712 (MI). The NPI Number for JOHN M MAZZARA (CRNA) is 1720131279

Main info

Male
41 Years Of Experience
Accepts Medicare Assignment
Name
JOHN M MAZZARA (CRNA)
NPI
1720131279
Phone
(248) 375-9019
Address
130 VREELAND DR
Enumeration Date
19 January 2007
Last Update Date
5 March 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2486525000
Graduation Year
1985 (41 years ago)
PAC ID
0446411946
Group Practice PAC ID
3971898644
Professional Enrollment ID
I20120410000388
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

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Provider Addresses for JOHN M MAZZARA (CRNA)

  • 130, Vreeland Drive, Spring Hill, Rochester Hills, Oakland County, Michigan, 48309, United States

    ROCHESTER HILLS, MI 483091906

    Phone: (248) 375-9019

    Type: Mailing

  • Ascension Providence Rochester Hospital, 1101, West University Drive, Rochester Hills, Oakland County, Michigan, 48307, United States

    ROCHESTER, MI 483071863

    Phone: (248) 652-5354

    Fax: (248) 652-5861

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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 48309)

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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: 3971898644View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
-MI
-MI
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
-TX

Reviews

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Frequently asked questions

How do payers reference JOHN M MAZZARA (CRNA)?
For JOHN M MAZZARA (CRNA), use NPI 1720131279 as the unique 10-digit identifier.
Active or inactive — what applies to JOHN M MAZZARA (CRNA)?
You should see JOHN M MAZZARA (CRNA) as active in CMS-hosted NPPES data.
What area of care is associated with JOHN M MAZZARA (CRNA)?
JOHN M MAZZARA (CRNA)'s record emphasizes Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for JOHN M MAZZARA (CRNA)?
Travel planning: use Rochester Hills, Michigan as the reference point for JOHN M MAZZARA (CRNA), then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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