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MRS. AUDREY VIZZACCARO P.A.-C.
NPI 1982878609
Physician Assistant - Medical in Lake Orion, MI

Active since April 14, 2008PECOS EnrolledAccepts Medicare Assignment
1261 SOUTH LAPEER RD, STE 201, LAKE ORION, MI 48360(248) 814-7546(248) 814-8900 Get Directions Write a Review

NPPES record last updated: April 14, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Audrey Vizzaccaro P.a.-c. NPPES

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

MRS. AUDREY VIZZACCARO P.A.-C. (NPI 1982878609) is an individual medical provider in Lake Orion, Michigan, licensed in Michigan (5601003044) and active in the NPI registry since April 2008. She is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1982878609
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. AUDREY VIZZACCAROCredential: P.A.-C.
Location Address1261 SOUTH LAPEER RD, STE 201Lake Orion, MI 48360
Mailing Address1261 South Lapeer Rd, Ste 201Lake Orion, MI 48360 · (248) 814-7546 · Fax (248) 814-8900
Phone(248) 814-7546
Fax(248) 814-8900
Sole ProprietorYes
Medical School CMSOtherGraduated 1998
Enumeration DateApril 14, 2008
✔ NPI 1982878609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in MI · 5601003044
1261 SOUTH LAPEER RD, Lake Orion, MI 48360
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

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

Mrs. Audrey Vizzaccaro P.a.-c. 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 ID4284000506
PECOS Enrollment IDI20221011002627
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.

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 Audrey Vizzaccaro's NPI number?

The NPI number for Audrey Vizzaccaro is 1982878609. It was assigned to this individual provider in the NPPES registry on April 14, 2008.

Where is Audrey Vizzaccaro located?

Audrey Vizzaccaro practices at 1261 South Lapeer Rd Ste 201, Lake Orion, MI 48360. The listed phone number is (248) 814-7546.

What is Audrey Vizzaccaro's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Audrey Vizzaccaro enrolled in Medicare?

Yes. Audrey Vizzaccaro 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.

What insurance does Audrey Vizzaccaro accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Audrey Vizzaccaro 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 Audrey Vizzaccaro was last updated on April 14, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.