CARMINE MAZZUCA ACNPC-AG
NPI 1003605064
Nurse Practitioner - Critical Care Medicine in Sault Sainte Marie, MI
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
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Carmine Mazzuca reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Sault Sainte Marie, MI 49783
- Reassigned Medicare billing, Michigan enrollment
- 185 clinicians in this Medicare group
Midland, MI 48670
- Reassigned Medicare billing, Michigan enrollment
- 536 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, MIChippewa County War Memorial Hospital
Acute Care Hospitals · Sault Sainte Marie, MIPhysician 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.
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.
SAULT SAINTE MARIE, MI 49783
SAULT SAINTE MARIE, MI 49783
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.
Which organizations bill Medicare for Carmine Mazzuca's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carmine Mazzuca reassigns Medicare benefits to 2 organizations: Mymichigan Medical Center Sault (Sault Sainte Marie, MI) and Mymichigan Medical Center Midland (Midland, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carmine Mazzuca's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 12 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.
# Carmine Mazzuca, ACNPC-AG · NPI 1003605064
Critical Care Medicine physician in Sault Sainte Marie, Michigan. Individual provider, active in the CMS NPPES registry since May 5, 2025.
## Identity
- **NPI:** 1003605064 (Entity type: Individual)
- **Enumerated:** May 5, 2025
- **Primary specialty:** Nurse Practitioner - Critical Care Medicine · taxonomy 363LC0200X
- **State license:** 4704214883 (Michigan)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 500 OSBORN BLVD, Sault Sainte Marie, MI 49783-1822
- **Phone:** (906) 635-4460
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Mymichigan Medical Center Sault (NPI 1720145303, Sault Sainte Marie, MI); Mymichigan Medical Center Midland (NPI 1205889490, Midland, MI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** October 2, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1003605064) · Data from the CMS NPPES public registry.