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

KRYSTAL MAZZULLA RN
NPI 1720786486
Registered Nurse in Kenosha, WI

Active since February 21, 2023
3600 52ND ST, KENOSHA, WI 53144(262) 359-6300 Get Directions Write a Review

NPPES record last updated: September 25, 2026. Verified against the NPPES registry weekly; last sync: September 27, 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 registered nurse in Kenosha, Wisconsin, licensed in Wisconsin (220566) and active in the NPI registry since February 2023.

NPPES Registry Identity

NPI1720786486
Entity TypeIndividualFemale
Primary Taxonomy163W00000X
Provider Legal NameKRYSTAL MAZZULLACredential: RN
Location Address3600 52ND STKenosha, WI 53144-2664
Mailing Address3600 52nd StKenosha, WI 53144-2664 · (262) 359-6300
Sole ProprietorNo
Enumeration DateFebruary 21, 2023
Last NPPES UpdateSeptember 25, 2026
NPPES CertifiedSeptember 25, 2026
✔ NPI 1720786486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered NurseNursing Service Providers
Taxonomy Code163W00000X
License✔ Licensed in WI · 220566
Definition
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
3600 52ND ST, Kenosha, WI 53144

Accepted Insurance

Other Providers at the Same Location NPPES 17

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

Local Education Agency (LEA)
3600 52ND ST
KENOSHA, WI 53144
Occupational Therapist
3600 52ND ST
KENOSHA, WI 53144
Speech-Language Pathologist
3600 52ND ST
KENOSHA, WI 53144
Speech-Language Pathologist
3600 52ND ST
KENOSHA, WI 53144
Occupational Therapist
3600 52ND ST
KENOSHA, WI 53144
Speech-Language Pathologist
3600 52ND ST
KENOSHA, WI 53144
Occupational Therapist
3600 52ND ST
KENOSHA, WI 53144
Occupational Therapist
3600 52ND ST
KENOSHA, WI 53144

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 3600 52nd St, Kenosha, WI 53144. The listed phone number is (262) 359-6300.

What is Krystal Mazzulla's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

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 September 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.