1. Home
  2. Directory
  3. Wisconsin
  4. Kenosha
  5. Registered Nurse
  6. NPI Profile

KRYSTAL MAZZULLA RN
NPI 1720786486
Registered Nurse - Addiction (Substance Use Disorder) in Kenosha, WI

Active since February 21, 2023
3825 39TH AVE STE 120, KENOSHA, WI 53144(262) 946-5752 Get Directions Write a Review

NPPES record last updated: February 21, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Krystal Mazzulla Rn NPPES

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

KRYSTAL MAZZULLA RN (NPI 1720786486) is an individual addiction (substance use disorder) provider in Kenosha, Wisconsin, licensed in Wisconsin (220566) and active in the NPI registry since February 2023.

NPPES Registry Identity

NPI1720786486
Entity TypeIndividualFemale
Primary Taxonomy163WA0400X
Provider Legal NameKRYSTAL MAZZULLACredential: RN
Location Address3825 39TH AVE STE 120Kenosha, WI 53144-2043
Mailing Address3825 39th Ave Ste 120Kenosha, WI 53144-2043 · (262) 946-5752
Phone(262) 946-5752
Sole ProprietorNo
Enumeration DateFebruary 21, 2023
NPPES CertifiedFebruary 21, 2023
✔ NPI 1720786486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Addiction (Substance Use Disorder)Nursing Service Providers
Taxonomy Code163WA0400X
License✔ Licensed in WI · 220566
3825 39TH AVE STE 120, Kenosha, WI 53144
Open in Google Maps ↗

Accepted Insurance

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

Other Providers at the Same Location NPPES 15

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

CALLIE COLWELL RN
Registered Nurse (Addiction (Substance Use Disorder))
3825 39TH AVE STE 120
KENOSHA, WI 53144
Kenosha County (629) 465-7522
XOCHITL JAMINET RN
Registered Nurse (Addiction (Substance Use Disorder))
3825 39TH AVE STE 120
KENOSHA, WI 53144
Kenosha County (262) 946-5752
LEIGH WOLTERS RN
Registered Nurse (Addiction (Substance Use Disorder))
3825 39TH AVE STE 120
KENOSHA, WI 53144
Kenosha County (262) 946-5752
STACEY WALLACE RN
Registered Nurse (Addiction (Substance Use Disorder))
3825 39TH AVE STE 120
KENOSHA, WI 53144
Kenosha County (262) 946-5752
ANGELA WILKINSON RN
Registered Nurse (Addiction (Substance Use Disorder))
3825 39TH AVE STE 120
KENOSHA, WI 53144
Kenosha County (262) 946-5752
CONNIE KORNMAN RN
Registered Nurse (Addiction (Substance Use Disorder))
3825 39TH AVE STE 120
KENOSHA, WI 53144
Kenosha County (262) 946-5752
MARY PETTIT RN
Registered Nurse (Addiction (Substance Use Disorder))
3825 39TH AVE STE 120
KENOSHA, WI 53144
Kenosha County (262) 946-5752
LISA SONODA RN
Registered Nurse (Addiction (Substance Use Disorder))
3825 39TH AVE STE 120
KENOSHA, WI 53144
Kenosha County (262) 946-5752

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 Krystal Mazzulla's NPI number?

The NPI number for Krystal Mazzulla is 1720786486. It was assigned to this individual provider in the NPPES registry on February 21, 2023.

Where is Krystal Mazzulla located?

Krystal Mazzulla practices at 3825 39th Ave Ste 120, Kenosha, WI 53144. The listed phone number is (262) 946-5752.

What is Krystal Mazzulla's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Addiction (Substance Use Disorder), with taxonomy code 163WA0400X.

What insurance does Krystal Mazzulla accept?

Health plans from Medica list Krystal 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 Krystal Mazzulla was last updated on February 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.