1. Home
  2. Directory
  3. Pennsylvania
  4. East Stroudsburg
  5. Nurse Practitioner
  6. NPI Profile

PETRONELLAH MAZORODZE DNP
NPI 1407563729
Nurse Practitioner in East Stroudsburg, PA

Active since November 07, 2022PECOS EnrolledAccepts Medicare Assignment
239 E BROWN ST, EAST STROUDSBURG, PA 18301(272) 212-3872(866) 230-5974 Get Directions Write a Review

NPPES record last updated: January 15, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 15, 2026, Feb 15, 2023, Nov 7, 2022 (3 updates tracked since 2022).

About Petronellah Mazorodze Dnp NPPES

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

PETRONELLAH MAZORODZE DNP (NPI 1407563729) is an individual nurse practitioner in East Stroudsburg, Pennsylvania, licensed in Pennsylvania (SP027006) and active in the NPI registry since November 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1407563729
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NamePETRONELLAH MAZORODZECredential: DNP
Location Address239 E BROWN STEast Stroudsburg, PA 18301-3005
Mailing Address801 Ostrum StBethlehem, PA 18015-1000 · (272) 212-3009 · Fax (866) 230-5974
Phone(272) 212-3872
Fax(866) 230-5974
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateNovember 7, 2022
Last NPPES UpdateJanuary 15, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 15, 2026
✔ NPI 1407563729 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses✔ Licensed in PA · SP027006✔ Licensed in PA · RN697983
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
239 E BROWN ST, East Stroudsburg, PA 18301
Open in Google Maps ↗

Other Names 1

Former Name (1)Petronellah Mupereri

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Petronellah Mazorodze Dnp 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 ID8123483336
PECOS Enrollment IDI20230421002520
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

3

Medicare enrollment records show Petronellah Mazorodze reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St. Luke's Physician Group, Inc.
Same address
Pulmonary Disease
239 E BROWN ST
East Stroudsburg, PA 18301
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: St Lukes Physician Group Inc
  • 2,851 clinicians in this Medicare group
NPI 1003349424 (570) 421-3872
Silver Willow Wellness PC
64 mi
Geriatric Medicine
2395 LANCASTER PIKE FL 1
Reading, PA 19607
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 137 clinicians in this Medicare group
NPI 1659164697 (585) 233-2817
Vital Healthcare Solutions
64 mi
Psychiatry
300 WINDMILL RD
Sinking Springs, PA 19608
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 166 clinicians in this Medicare group
NPI 1659736957 (814) 505-7060

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
43 services39 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18301 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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 18

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

ST. LUKE'S PHYSICIAN GROUP, INC.
Internal Medicine (Pulmonary Disease)
239 E BROWN ST
EAST STROUDSBURG, PA 18301
Monroe County (570) 421-3872
ALYSSA K LANE PA-C
Physician Assistant
239 E BROWN ST
EAST STROUDSBURG, PA 18301
Monroe County (570) 421-3872
JEFFREY F BAIR MD
Internal Medicine (Cardiovascular Disease)
239 E BROWN ST, MEDICAL ASSOC OF MONROE COUNTY
EAST STROUDSBURG, PA 18301
Monroe County (570) 421-3872
ERIKA ESHLEMAN PA-C
Physician Assistant
239 E BROWN ST
EAST STROUDSBURG, PA 18301
Monroe County (272) 212-3200
BRIAN F MCDONALD MD
Internal Medicine
239 E BROWN ST
EAST STROUDSBURG, PA 18301
Monroe County (570) 421-3872
STEVEN E GOLD MD
Internal Medicine
239 E BROWN ST
EAST STROUDSBURG, PA 18301
Monroe County (570) 421-3812
DEVIN M RODRIGUEZ PA
Physician Assistant (Medical)
239 E BROWN ST
EAST STROUDSBURG, PA 18301
Monroe County (570) 421-3872
POCONO MRI IMAGING AND DIAGNOSTIC CENTER,LLC
Psychiatry & Neurology (Neurology)
239 E BROWN ST
EAST STROUDSBURG, PA 18301
Monroe County (570) 421-3872

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 Petronellah Mazorodze's NPI number?

The NPI number for Petronellah Mazorodze is 1407563729. It was assigned to this individual provider in the NPPES registry on November 7, 2022. The provider is also known as Petronellah Mupereri.

Where is Petronellah Mazorodze located?

Petronellah Mazorodze practices at 239 E Brown St, East Stroudsburg, PA 18301. The listed phone number is (272) 212-3872.

What is Petronellah Mazorodze's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Petronellah Mazorodze enrolled in Medicare?

Yes. Petronellah Mazorodze 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 Petronellah Mazorodze's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Petronellah Mazorodze reassigns Medicare benefits to 3 organizations: St. Luke's Physician Group, Inc. (East Stroudsburg, PA), Silver Willow Wellness PC (Reading, PA) and Vital Healthcare Solutions (Sinking Springs, PA). 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 Petronellah Mazorodze's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Petronellah Mazorodze accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Petronellah Mazorodze 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 Petronellah Mazorodze was last updated on January 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.