DEIRDRE ALICE MAZZETTO NP, AGACNP-BC - NPI 1023580446

Q: What is Deirdre Mazzetto's NPI number?

The NPI number for Deirdre Mazzetto is 1023580446. It was assigned to this individual provider in the NPPES registry on December 24, 2018. The provider is also known as Deirdre Alice Sullivan Np, Agacnp-Bc.

Q: What is Deirdre Mazzetto's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Deirdre Mazzetto was last updated on February 8, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Deirdre Alice Mazzetto Np, Agacnp-bc NPPES

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

DEIRDRE ALICE MAZZETTO NP, AGACNP-BC (NPI 1023580446) is an individual acute care provider in Merced, California, licensed in California (95010718) and active in the NPI registry since December 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Sacramento, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1023580446

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameDEIRDRE ALICE MAZZETTOCredential: NP, AGACNP-BC

Location Address220 E 13TH STMerced, CA 95341-6250

Mailing Address220 E 13th StMerced, CA 95341-6250 · (209) 723-2122

Phone(209) 723-2122

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateDecember 24, 2018

Last NPPES UpdateFebruary 8, 20215 updates tracked since enumeration

NPPES CertifiedFebruary 8, 2021

✔ NPI 1023580446 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in CA · 95010718

220 E 13TH ST, Merced, CA 95341

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Other Names 1

Former Name (1)Deirdre Alice Sullivan Np, Agacnp-bc

Secondary Practice Location 1

Location 12800 L St Fl 6Sacramento, CA 95816-5616 · Phone (916) 887-4040 · Fax (916) 887-4045

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

Deirdre Alice Mazzetto Np, Agacnp-bc 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 ID9830425925

PECOS Enrollment IDI20190726002136

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95341 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

$90.32 typical visit price

range $58.87 – $176.60

Typical copayment $22.58 (range $14.71 – $44.15)

Most-billed visit code 99203

Established Patient

$103.36 typical visit price

range $19.28 – $144.60

Typical copayment $25.84 (range $4.82 – $36.15)

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 5

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

HUMBERTO BARRAGAN DO

Family Medicine