MRS. KATELYN SUZANNE MAZUCH (CNM) – Advanced Practice Midwife, NPI 1770006108
Advanced Practice Midwife
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MRS. KATELYN SUZANNE MAZUCH (CNM)
2115 N Kansas Ave Ste 204
Hastings, NE 689012615
Phone: (402) 463-6793
Type: Location
4625 Lindell Blvd Fl 2
Saint Louis, MO 631083739
Phone: (914) 919-9200
Type: Location
1400 Broadfield Blvd Ste 200
Houston, TX 770845162
Phone: (914) 919-9200
Fax: (833) 913-2393
Type: Location
3455 Peachtree Rd NE Ste 500
Atlanta, GA 303263236
Phone: (914) 919-9200
Fax: (833) 913-2393
Type: Location
30 Broad St FL 41
New York, NY 100042935
Phone: (914) 919-9200
Fax: (833) 913-2393
Type: Location
204, North Kansas Avenue, Countryside Parks, Hastings, Adams County, Nebraska, 68901, United States
HASTINGS, NE 689012615
Phone:
Type: Mailing
PO BOX 748817
ATLANTA, GA 303748817
Phone: (813) 286-0033
Fax: (813) 282-1806
Type: Mailing
PO BOX 25317
TAMPA, FL 336225317
Phone: (813) 286-0033
Fax: (813) 282-1806
Type: Mailing
5002 W LEMON ST
TAMPA, FL 336091104
Phone: (813) 286-0033
Fax: (813) 282-1806
Type: Location
4030 W BOY SCOUT BLVD STE 800
TAMPA, FL 336075713
Phone: (813) 286-0033
Fax: (813) 282-1806
Type: Location
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 $4.
Total Amount is formed as General ($4) + Research ($0) + Ownership ($0) = $4.
Last reported payment date: 2024-07-24 • Largest payer in this snapshot: Organon LLC ($4).
Total Amount
$4
General + Research + Ownership
Payments
1
Total payment records
General Amount
$4
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Organon LLC | $4 |
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: 2021-10-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170911002109 | I | Certified Nurse Midwife (Cnm) | NE | TBD |
| I20211015002754 | I | Certified Nurse Midwife (Cnm) | 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 68901)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | NE | |
| O B S T E T R I C S/ G Y N E C O L O G Y | NE | |
| Family Practice | NE | |
| Nurse Practitioner | NE | |
| Nurse Practitioner | NE | |
| Certified Nurse Midwife (Cnm) | NE | |
| O B S T E T R I C S/ G Y N E C O L O G Y | NE | |
| O B S T E T R I C S/ G Y N E C O L O G Y | NE | |
| Certified Nurse Midwife (Cnm) | NE | |
| Nurse Practitioner | NE |
Reviews
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