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MRS. ELIZABETH JEAN MAZZELLA AGNP
NPI 1568832236
Nurse Practitioner - Adult Health in Gaylord, MI

Active since October 06, 2015PECOS Enrolled
5059 OLD 27 S, GAYLORD, MI 49735(989) 705-2225 Get Directions Write a Review

NPPES record last updated: October 6, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mrs. Elizabeth Jean Mazzella Agnp NPPES

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

MRS. ELIZABETH JEAN MAZZELLA AGNP (NPI 1568832236) is an individual adult health provider in Gaylord, Michigan, licensed in Michigan (4704244043) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1568832236
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMRS. ELIZABETH JEAN MAZZELLACredential: AGNP
Location Address5059 OLD 27 SGaylord, MI 49735-9590
Mailing Address912 N Summitview DrGaylord, MI 49735-9102 · (989) 858-0938
Phone(989) 705-2225
Sole ProprietorNo
Enumeration DateOctober 6, 2015
✔ NPI 1568832236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in MI · 4704244043
5059 OLD 27 S, Gaylord, MI 49735
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Elizabeth Jean Mazzella Agnp 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.

Medicare Billing Reassignment

Medicare enrollment records show Elizabeth Mazzella reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Medical Rehabilitation Physicians Plc
110 mi
Psychiatry
2935 HEALTH PARKWAY
Mt Pleasant, MI 48858
  • Reassigned Medicare billing, Michigan enrollment
  • 12 clinicians in this Medicare group
NPI 1174698336 (989) 772-1609

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 49735 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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

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

MEDICAL REHABILITATION PHYSICIANS PLC
Durable Medical Equipment & Medical Supplies
5059 OLD 27 S
GAYLORD, MI 49735
Otsego County (989) 705-2225

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 Elizabeth Mazzella's NPI number?

The NPI number for Elizabeth Mazzella is 1568832236. It was assigned to this individual provider in the NPPES registry on October 6, 2015.

Where is Elizabeth Mazzella located?

Elizabeth Mazzella practices at 5059 Old 27 S, Gaylord, MI 49735. The listed phone number is (989) 705-2225.

What is Elizabeth Mazzella's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Elizabeth Mazzella enrolled in Medicare?

Yes. Elizabeth Mazzella is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Elizabeth Mazzella's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Mazzella reassigns Medicare benefits to Medical Rehabilitation Physicians Plc (Mt Pleasant, MI). The 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 Elizabeth Mazzella's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Elizabeth Mazzella was last updated on October 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.