MARIAN TAYLOR STRANGE MIZELLE (PA-C) – Physician Assistant, NPI 1205578242

MARIAN TAYLOR STRANGE MIZELLE (PA-C) is a healthcare provider. based in Lynchburg, Virginia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. The NPI Number for MARIAN TAYLOR STRANGE MIZELLE (PA-C) is 1205578242

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
MARIAN TAYLOR STRANGE MIZELLE (PA-C)
NPI
1205578242
Phone
Not provided
Address
300 MONTICELLO AVE
Enumeration Date
11 April 2022
Last Update Date
15 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4347920423
Graduation Year
2022 (4 years ago)
PAC ID
4789050774
Group Practice PAC ID
5294977401
Professional Enrollment ID
I20221017000751
Address ID
VA245414101DA117XXDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:4State licenses:0Digital endpointsOther names

4,430 PHYSICIAN ASSISTANT in VA

Provider Addresses for MARIAN TAYLOR STRANGE MIZELLE (PA-C)

  • 300 MONTICELLO AVE

    LYNCHBURG, VA 245015616

    Phone:

    Type: Mailing

  • 117 EXECUTIVE DR

    DANVILLE, VA 245414101

    Phone: (434) 792-0423

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 380 Open Payments records for all available years, with a total value of $7,529.

Total Amount is formed as General ($7,529) + Research ($0) + Ownership ($0) = $7,529.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: ABBVIE INC. ($1,451).

Total Amount

$7,529

General + Research + Ownership

Payments

380

Total payment records

General Amount

$7,529

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

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: 2022-10-17

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
I20221017000751IPhysician AssistantVATBD

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 24501)

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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: 5294977401View full group profile
NameSpecialtyState
Physician AssistantVA
D E R M A T O L O G YVA
Dermatology, Micrographic Dermatologic Surgery (Mds)VA
Nurse PractitionerVA
D E R M A T O L O G YVA
D E R M A T O L O G YNC
Physician AssistantVA

Reviews

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Frequently asked questions

How is MARIAN TAYLOR STRANGE MIZELLE (PA-C) identified in CMS data?
CMS-hosted NPPES data lists MARIAN TAYLOR STRANGE MIZELLE (PA-C) with NPI 1205578242.
Can I rely on MARIAN TAYLOR STRANGE MIZELLE (PA-C) being an active provider?
As of the registry snapshot, MARIAN TAYLOR STRANGE MIZELLE (PA-C) is marked active.
What is MARIAN TAYLOR STRANGE MIZELLE (PA-C)'s primary classification?
Physician Assistant is the headline specialty for MARIAN TAYLOR STRANGE MIZELLE (PA-C) here. Clinical services aligned with this taxonomy classification.
What area does MARIAN TAYLOR STRANGE MIZELLE (PA-C) serve?
MARIAN TAYLOR STRANGE MIZELLE (PA-C)'s listing highlights Lynchburg, Virginia; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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