KATHRYN GRACE MAZZARELLA NP
NPI 1922522929
Nurse Practitioner - Gerontology in New York, NY
About Kathryn Grace Mazzarella Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATHRYN GRACE MAZZARELLA NP (NPI 1922522929) is an individual gerontology provider in New York, New York, licensed in Texas (927502) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
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
Kathryn Grace Mazzarella Np 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.
Medicare Billing Reassignment
Medicare enrollment records show Kathryn Mazzarella reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
New York, NY 10065
- Reassigned Medicare billing, New York enrollment
- 248 clinicians in this Medicare group
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 2
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10065 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
NEW YORK, NY 10065
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 Kathryn Mazzarella's NPI number?
The NPI number for Kathryn Mazzarella is 1922522929. It was assigned to this individual provider in the NPPES registry on August 1, 2017.
Where is Kathryn Mazzarella located?
Kathryn Mazzarella practices at 1275 York Ave, New York, NY 10065. The listed phone number is (516) 647-2075.
What is Kathryn Mazzarella's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.
Is Kathryn Mazzarella enrolled in Medicare?
Yes. Kathryn Mazzarella 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 organization bills Medicare for Kathryn Mazzarella's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kathryn Mazzarella reassigns Medicare benefits to Mskcc Clinical Practice Plan (New York, NY). 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 Kathryn Mazzarella'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 Kathryn Mazzarella was last updated on November 9, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Kathryn Grace Mazzarella, NP · NPI 1922522929
Gerontology physician in New York, New York. Individual provider, active in the CMS NPPES registry since August 1, 2017.
## Identity
- **NPI:** 1922522929 (Entity type: Individual)
- **Enumerated:** August 1, 2017
- **Primary specialty:** Nurse Practitioner - Gerontology · taxonomy 363LG0600X
- **State license:** 927502 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 1275 YORK AVE, New York, NY 10065
- **Phone:** (516) 647-2075
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Mskcc Clinical Practice Plan (NPI 1306096508, New York, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** November 9, 2018
- **Other identifiers:** Medicaid 376842601 (TX); Medicaid 376842602 (TX)
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Source: [NPI Profile](https://npiprofile.com/npi/1922522929) · Data from the CMS NPPES public registry.