HANNAH JO MAZZONI (PA) – Physician Assistant, NPI 1073298964

HANNAH JO MAZZONI (PA) is a healthcare provider. based in Hermitage, Tennessee. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 5941 (TN). The NPI Number for HANNAH JO MAZZONI (PA) is 1073298964

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
HANNAH JO MAZZONI (PA)
NPI
1073298964
Phone
(615) 320-0007
Address
5653 Frist Blvd Ste 738
Enumeration Date
19 June 2023
Last Update Date
18 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6159861256118
Graduation Year
2024 (2 years ago)
PAC ID
3779020474
Group Practice PAC ID
8022099142
Professional Enrollment ID
I20240730004307
Address ID
TN372031566NA2400XSTXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience33
Completeness75
Years active:2State licenses:1Digital endpointsOther names

3,118 PHYSICIAN ASSISTANT in TN

Provider Addresses for HANNAH JO MAZZONI (PA)

  • 5653 Frist Blvd Ste 738

    Hermitage, TN 370762066

    Phone: (615) 320-0007

    Fax: (615) 383-6329

    Type: Location

  • PO BOX 210127

    NASHVILLE, TN 372210127

    Phone: (615) 383-2443

    Type: Mailing

  • 330 22ND AVE N

    NASHVILLE, TN 372031844

    Phone: (615) 320-0007

    Fax: (615) 383-6329

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $1,150.

Total Amount is formed as General ($1,150) + Research ($0) + Ownership ($0) = $1,150.

Last reported payment date: 2024-11-27 • Largest payer in this snapshot: Silk Road Medical, Inc. ($1,111).

Total Amount

$1,150

General + Research + Ownership

Payments

5

Total payment records

General Amount

$1,150

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-27

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: 2024-07-30

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
I20240730004307IPhysician AssistantTNTBD

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 37076)

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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: 8022099142View full group profile
NameSpecialtyState
N E U R O S U R G E R YTN
Physician AssistantTN
Physician AssistantTN
N E U R O S U R G E R YLA
Physician AssistantTN
N E U R O S U R G E R YTN
Physician AssistantTN
-TN
N E U R O S U R G E R YTN
Nurse PractitionerTN

Reviews

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Frequently asked questions

Is HANNAH JO MAZZONI (PA) listed with a National Provider Identifier?
Yes — HANNAH JO MAZZONI (PA) has NPI 1073298964 on file in the registry.
Is HANNAH JO MAZZONI (PA) still an active registrant?
HANNAH JO MAZZONI (PA) carries an active NPI according to the public dataset.
What expertise is attributed to HANNAH JO MAZZONI (PA)?
HANNAH JO MAZZONI (PA)'s specialty line reads Physician Assistant. Clinical services aligned with this taxonomy classification.
Is HANNAH JO MAZZONI (PA) associated with Hermitage?
Public fields place HANNAH JO MAZZONI (PA) around Hermitage, Tennessee. Always confirm the exact site before visiting.
Can I trust this NPI listing for HANNAH JO MAZZONI (PA)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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