LISA M MAZZELLA – Adult Health Nurse Practitioner, NPI 1053752576

LISA M MAZZELLA is a healthcare provider. based in Euclid, Ohio. specializing in NURSE PRACTITIONER. They hold a License No. RN.334407 (OH). The NPI Number for LISA M MAZZELLA is 1053752576

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
LISA M MAZZELLA
NPI
1053752576
Phone
Not provided
Address
25301 EUCLID AVE
Enumeration Date
12 July 2013
Last Update Date
24 August 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2013 (13 years ago)
PAC ID
0547494148
Group Practice PAC ID
0840247763
Professional Enrollment ID
I20131015001394
Address ID
OH441172609Eu25301FLXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:12State licenses:2Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

Provider Addresses for LISA M MAZZELLA

  • 25301 EUCLID AVE

    EUCLID, OH 441172609

    Phone:

    Mailing address matches the actual address.

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.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2013-10-15

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
I20131015001394INurse PractitionerOHTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes314177$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes10371$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes5349$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 44117)

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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: 0840247763View full group profile
NameSpecialtyState
Certified Clinical Nurse Specialist (Cns)OH
Nurse PractitionerOH
Nephrology, Internal MedicineOH
Nurse PractitionerOH
Nurse PractitionerOH
Internal Medicine, NephrologyPA
N E P H R O L O G YOH

Reviews

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Frequently asked questions

What NPI should I save for LISA M MAZZELLA?
Save NPI 1053752576 if you need a stable reference for LISA M MAZZELLA.
Is LISA M MAZZELLA's NPI currently valid?
The extract we use shows LISA M MAZZELLA as active.
What kind of provider is LISA M MAZZELLA?
The page reflects Adult Health Nurse Practitioner for LISA M MAZZELLA. Clinical services aligned with this taxonomy classification.
Where does public data place LISA M MAZZELLA?
The snapshot lists Euclid, Ohio for LISA M MAZZELLA; download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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