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CARMINE MAZZUCA ACNPC-AG
NPI 1003605064
Nurse Practitioner - Critical Care Medicine in Sault Sainte Marie, MI

Active since May 05, 2025PECOS EnrolledAccepts Medicare Assignment
500 OSBORN BLVD, SAULT SAINTE MARIE, MI 49783(906) 635-4460 Get Directions Write a Review

NPPES record last updated: October 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Carmine Mazzuca Acnpc-ag NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARMINE MAZZUCA ACNPC-AG (NPI 1003605064) is an individual critical care medicine provider in Sault Sainte Marie, Michigan, licensed in Michigan (4704214883) and active in the NPI registry since May 2025. He is enrolled in Medicare PECOS, is affiliated with Mymichigan Medical Center Midland, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1003605064
Entity TypeIndividualMale
Primary Taxonomy363LC0200X
Provider Legal NameCARMINE MAZZUCACredential: ACNPC-AG
Location Address500 OSBORN BLVDSault Sainte Marie, MI 49783-1822
Mailing Address4000 Wellness DrMidland, MI 48670-1000
Phone(906) 635-4460
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateMay 5, 2025
Last NPPES UpdateOctober 2, 2025
NPPES CertifiedOctober 2, 2025
✔ NPI 1003605064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Critical Care MedicinePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LC0200X
License✔ Licensed in MI · 4704214883
500 OSBORN BLVD, Sault Sainte Marie, MI 49783
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Carmine Mazzuca Acnpc-ag is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8729597638
PECOS Enrollment IDI20250603000506
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mymichigan Medical Center Midland

Acute Care Hospitals · Midland, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230222
Location4000 Wellness DriveMidland, MI 48670 · Midland County
Birthing friendly

Chippewa County War Memorial Hospital

Acute Care Hospitals · Sault Sainte Marie, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230239
Location500 Osborn BlvdSault Sainte Marie, MI 49783 · Chippewa County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49783 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THADDEUS ROGALLA MS/CCC-SLP
Speech-Language Pathologist
500 OSBORN BLVD
SAULT SAINTE MARIE, MI 49783
Chippewa County (906) 635-4426
SAKSHI GUPTA PT, MPT
Physical Therapist
500 OSBORN BLVD
SAULT SAINTE MARIE, MI 49783
Chippewa County (906) 635-4426
DR. BENJAMIN ISAAC GLUCK MD
Emergency Medicine
500 OSBORN BLVD
SAULT SAINTE MARIE, MI 49783
Chippewa County (906) 635-4460
JANET SUE FARRISH-GRAVELLE LMSW
Counselor (Mental Health)
500 OSBORN BLVD
SAULT SAINTE MARIE, MI 49783
Chippewa County (906) 635-2969
TARA MICHELLE MILLER NP
Nurse Practitioner
500 OSBORN BLVD
SAULT SAINTE MARIE, MI 49783
Chippewa County (906) 636-4460
HEARING FIRST, INC
Hearing Aid Equipment
500 OSBORN BLVD
SAULT SAINTE MARIE, MI 49783
Chippewa County (866) 278-2288
HAILEY COCKERILL
Physician Assistant
500 OSBORN BLVD
SAULT SAINTE MARIE, MI 49783
Chippewa County (906) 635-4460
SANDRA ELLEN JOHNSON
Nurse Anesthetist, Certified Registered
500 OSBORN BLVD
SAULT SAINTE MARIE, MI 49783
Chippewa County (906) 635-4390

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carmine Mazzuca's NPI number?

The NPI number for Carmine Mazzuca is 1003605064. It was assigned to this individual provider in the NPPES registry on May 5, 2025.

Where is Carmine Mazzuca located?

Carmine Mazzuca practices at 500 Osborn Blvd, Sault Sainte Marie, MI 49783. The listed phone number is (906) 635-4460.

What is Carmine Mazzuca's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Critical Care Medicine, with taxonomy code 363LC0200X.

Is Carmine Mazzuca enrolled in Medicare?

Yes. Carmine Mazzuca is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Carmine Mazzuca accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Carmine Mazzuca as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Carmine Mazzuca affiliated with any hospitals?

According to CMS data, Carmine Mazzuca is affiliated with Mymichigan Medical Center Midland and Chippewa County War Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Carmine Mazzuca was last updated on October 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.