ALEXANDRA NICOLE MAZZARO CAA
NPI 1811791981
Anesthesiologist Assistant in Charleston, SC

Q: What is Alexandra Mazzaro's NPI number?

The NPI number for Alexandra Mazzaro is 1811791981. It was assigned to this individual provider in the NPPES registry on April 1, 2025.

Q: What is Alexandra Mazzaro's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Q: When was this NPI record last updated?

The NPPES record for Alexandra Mazzaro was last updated on April 1, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 01, 2025Accepts Medicare Assignment

9263 MEDICAL PLAZA DR STE E, CHARLESTON, SC 29406(843) 572-1228 Get Directions Write a Review

NPPES record last updated: April 1, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Alexandra Nicole Mazzaro Caa NPPES

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

ALEXANDRA NICOLE MAZZARO CAA (NPI 1811791981) is an individual anesthesiologist assistant in Charleston, South Carolina and active in the NPI registry since April 2025. She is affiliated with Trident Medical Center and is a graduate of Other (2024).

NPPES Registry Identity

NPI1811791981

Entity TypeIndividualFemale

Primary Taxonomy367H00000X

Provider Legal NameALEXANDRA NICOLE MAZZAROCredential: CAA

Location Address9263 MEDICAL PLAZA DR STE ECharleston, SC 29406-7112

Mailing Address1310 Meeting Street Rd Unit 517Charleston, SC 29405-9462 · (330) 304-7857

Phone(843) 572-1228

Sole ProprietorYes

Medical School CMSOtherGraduated 2024

Enumeration DateApril 1, 2025

NPPES CertifiedApril 1, 2025

✔ NPI 1811791981 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367H00000X

Definition

An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

9263 MEDICAL PLAZA DR STE E, Charleston, SC 29406

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Alexandra Nicole Mazzaro Caa 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 ID3274050588

PECOS Enrollment IDI20250509002135

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Trident Medical Center

Acute Care Hospitals · Charleston, SC

3/5 CMS rating

OwnershipProprietary

CMS Certification Number420079

Location9330 Medical Plaza DrCharleston, SC 29406 · Charleston County

Emergency services Birthing friendly

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Other Providers at the Same Location NPPES 20

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

DREW P CARDWELL SRNA

Nurse Anesthetist, Certified Registered