ANGELICA M MAZZOLA PA
NPI 1154833978
Physician Assistant in Fort Myers, FL

Q: What is Angelica Mazzola's NPI number?

The NPI number for Angelica Mazzola is 1154833978. It was assigned to this individual provider in the NPPES registry on November 2, 2017.

Q: What is Angelica Mazzola's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Angelica Mazzola was last updated on August 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since November 02, 2017PECOS EnrolledAccepts Medicare Assignment

6201 ALLIANCE LN STE 100, FORT MYERS, FL 33912(239) 343-1176(239) 343-4238 Get Directions Write a Review

NPPES record last updated: August 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 12, 2025, Feb 11, 2022, Nov 2, 2017 (3 updates tracked since 2017).

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About Angelica M Mazzola Pa NPPES

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

ANGELICA M MAZZOLA PA (NPI 1154833978) is an individual physician assistant in Fort Myers, Florida, licensed in Florida (PA9114885) and active in the NPI registry since November 2017. She is enrolled in Medicare PECOS, is affiliated with Lee Memorial Hospital, and maintains a secondary practice location in Fort Myers.

NPPES Registry Identity

NPI1154833978

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameANGELICA M MAZZOLACredential: PA

Location Address6201 ALLIANCE LN STE 100Fort Myers, FL 33912-7164

Mailing AddressPo Box 2147Fort Myers, FL 33902-2147 · (239) 343-1176 · Fax (239) 343-4238

Phone(239) 343-1176

Fax(239) 343-4238

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateNovember 2, 2017

Last NPPES UpdateAugust 21, 20253 updates tracked since enumeration

NPPES CertifiedAugust 21, 2025

✔ NPI 1154833978 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in FL · PA9114885✔ Licensed in NY · 021573

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.

6201 ALLIANCE LN STE 100, Fort Myers, FL 33912

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Secondary Practice Location 1

Location 16150 Diamond Centre Ct # 1300Fort Myers, FL 33912-4367 · Phone (239) 344-9786

Other Identifiers 1

Medicaid115619200FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed.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

Angelica M Mazzola Pa 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 ID1153685201

PECOS Enrollment IDI20220218000263

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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

29 services25 patients

Removal of gallbladder using an endoscope 47562

This procedure, known as endoscopic gallbladder removal, involves a surgeon using a special tool called an endoscope to remove your gallbladder through small incisions. It's typically done to treat gallstones and related complications. It's a less invasive method, often leading to quicker recovery.

16 services16 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

14 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Lee Memorial Hospital

Acute Care Hospitals · Fort Myers, FL

5/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100012

Location2776 Cleveland AveFort Myers, FL 33901 · Lee County

Emergency services Birthing friendly

Gulf Coast Medical Center Lee Health

Acute Care Hospitals · Fort Myers, FL

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100220

Location13681 Doctors WayFort Myers, FL 33912 · Lee County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33912 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

$91.69 typical visit price

range $58.56 – $179.05

Typical copayment $22.92 (range $14.64 – $44.76)

Most-billed visit code 99203

Established Patient

$73.00 typical visit price

range $18.44 – $144.68

Typical copayment $18.25 (range $4.61 – $36.17)

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 6

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

CHRISTOPHER MICHAEL SLOAT PA

Physician Assistant