Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SHAUNA MAZZULLA O.D.
NPI 1396893608
Optometrist in Mesa, AZ

Active since January 05, 2007PECOS EnrolledAccepts Medicare Assignment
4838 E BASELINE RD STE 129, MESA, AZ 85206(480) 892-6560 Get Directions Write a Review

NPPES record last updated: October 5, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 5, 2026, Mar 7, 2024, Jul 24, 2023 and 1 more (4 updates tracked since 2017).

About Shauna Mazzulla O.d. NPPES

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

SHAUNA MAZZULLA O.D. (NPI 1396893608) is an individual optometrist in Mesa, Arizona, licensed in Arizona (OPT-002864) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (2001).

NPPES Registry Identity

NPI1396893608
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameSHAUNA MAZZULLACredential: O.D.
Location Address4838 E BASELINE RD STE 129Mesa, AZ 85206-4673
Mailing Address7100 E Lincoln Dr Unit 3157Paradise Valley, AZ 85253-4454 · (206) 390-2637
Sole ProprietorNo
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 2001
Enumeration DateJanuary 5, 2007
Last NPPES UpdateOctober 5, 20264 updates tracked since enumeration
NPPES CertifiedOctober 5, 2026
✔ NPI 1396893608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in AZ · OPT-002864✔ Licensed in WA · 3661 TX
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
4838 E BASELINE RD STE 129, Mesa, AZ 85206

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

Shauna Mazzulla O.d. 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 ID7517993991
PECOS Enrollment IDI20171024001600
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Shauna Mazzulla reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Optometrist
12310 NE 8TH ST STE 101
Bellevue, WA 98005
  • Reassigned Medicare billing, Washington enrollment
  • 87 clinicians in this Medicare group
Optometrist
23535 NE NOVELTY HILL RD, D302
Redmond, WA 98053
  • Reassigned Medicare billing, Washington enrollment
  • 4 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85206 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

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 Shauna Mazzulla's NPI number?

The NPI number for Shauna Mazzulla is 1396893608. It was assigned to this individual provider in the NPPES registry on January 5, 2007.

Where is Shauna Mazzulla located?

Shauna Mazzulla practices at 4838 E Baseline Rd Ste 129, Mesa, AZ 85206. The listed phone number is (480) 892-6560.

What is Shauna Mazzulla's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Shauna Mazzulla enrolled in Medicare?

Yes. Shauna Mazzulla 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 Shauna Mazzulla's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shauna Mazzulla reassigns Medicare benefits to 2 organizations: Aeg Washington Professional PC (Bellevue, WA) and Vanessa Michel PLLC (Redmond, WA). 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 Shauna Mazzulla's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shauna Mazzulla accept?

Health plans from Ambetter Health, Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and Blue Cross and Blue Shield of Montana and 4 other insurers list Shauna Mazzulla 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 Shauna Mazzulla was last updated on October 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 33 days 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.