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MADISON FAZZOLARE PA-C
NPI 1073332821
Physician Assistant in Prospect Hill, NC

Active since October 08, 2024PECOS Enrolled
322 MAIN ST, PROSPECT HILL, NC 27314(336) 562-3311 Get Directions Write a Review

NPPES record last updated: November 8, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 8, 2024, Oct 8, 2024 (2 updates tracked since 2024).

About Madison Fazzolare Pa-c NPPES

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

MADISON FAZZOLARE PA-C (NPI 1073332821) is an individual physician assistant in Prospect Hill, North Carolina, licensed in North Carolina (0010-14607) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073332821
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMADISON FAZZOLARECredential: PA-C
Location Address322 MAIN STProspect Hill, NC 27314-9438
Mailing Address322 Main StProspect Hill, NC 27314-9438
Phone(336) 562-3311
Sole ProprietorNo
Enumeration DateOctober 8, 2024
Last NPPES UpdateNovember 8, 20242 updates tracked since enumeration
NPPES CertifiedNovember 8, 2024
✔ NPI 1073332821 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NC · 0010-14607
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
322 MAIN ST, Prospect Hill, NC 27314
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Madison Fazzolare Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 27314 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
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 12

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

PIEDMONT HEALTH SERVICES, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
322 MAIN ST
PROSPECT HILL, NC 27314
Caswell County (336) 562-3311
EVELYN PONCE QUINTERO LCSW-A
Social Worker (Clinical)
322 MAIN ST
PROSPECT HILL, NC 27314
Caswell County (336) 562-3311
REBECCA PETTIGREW ZIDMAN MS, RDN, LDN
Dietitian, Registered
322 MAIN ST
PROSPECT HILL, NC 27314
Caswell County (336) 562-3311
KELLY DRAUGHN CLAYTON RPH
Pharmacist
322 MAIN ST
PROSPECT HILL, NC 27314
Caswell County (336) 562-5972
DR. KATRINA CHAUNDANI MATTISON D.D.S.
Dentist (Dental Public Health)
322 MAIN ST
PROSPECT HILL, NC 27314
Caswell County (336) 562-3123
SOROUSH VAHDATI-SHAMS PA-C
Physician Assistant
322 MAIN ST
PROSPECT HILL, NC 27314
Caswell County (336) 562-3311
PIEDMONT HEALTH SERVICES, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
322 MAIN ST
PROSPECT HILL, NC 27314
Caswell County (336) 562-3123
PIEDMONT HEALTH SERVICES, INC.
Pharmacy (Clinic Pharmacy)
322 MAIN ST
PROSPECT HILL, NC 27314
Caswell County (336) 562-5972

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 Madison Fazzolare's NPI number?

The NPI number for Madison Fazzolare is 1073332821. It was assigned to this individual provider in the NPPES registry on October 8, 2024.

Where is Madison Fazzolare located?

Madison Fazzolare practices at 322 Main St, Prospect Hill, NC 27314. The listed phone number is (336) 562-3311.

What is Madison Fazzolare's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Madison Fazzolare enrolled in Medicare?

Yes. Madison Fazzolare is registered in the Medicare PECOS enrollment system.

What insurance does Madison Fazzolare accept?

Health plans from Blue Cross and Blue Shield of NC list Madison Fazzolare 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.

When was this NPI record last updated?

The NPPES record for Madison Fazzolare was last updated on November 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.