Individual provider Active NPI

Mark A Mazzye Sr., PA-C

  • Physician Assistant
  • Lincoln, RI
National Provider Identifier
1295713592
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA01320 Issued in RI
Practice address
6 Blackstone Valley PL
Lincoln, RI 02865-1179
Phone
(401) 302-8821
NPI assigned
Jan 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA01320 RI Primary

Addresses

Primary practice location

6 Blackstone Valley PL
Lincoln, RI 02865-1179

Mailing address

6 Blackstone Valley PL
Lincoln, RI 02865-1179
Phone (401) 302-8821

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210617002470 RI Practitioner - Physician Assistant 6305970328 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthadvisors LLCGroup PAC ID 8325486244, 13 clinicians

Practice addresses (Care Compare)

6 Blackstone Valley PL
Suite 502
Lincoln, RI 02865-1102
Phone (401) 467-3115

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
6833NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Healthadvisors LLC CurrentSince Dec 15, 2025 Accepting new patients
James E. Willis MD PC PastSince Jan 1, 1996 Accepting new patients
Family Medicine Associates of Central New York, P.C. Past Accepting new patients

Locations

6 Blackstone Valley Pl
Ste 502
Lincoln, RI 02865
Phone (401) 334-6250

Interoperability endpoints

  • Direct secure messaging: mark.mazzye.1@30907.direct.athenahealth.com
  • Direct secure messaging: mmazzye@hiemail.healtheconnections.org
  • Direct secure messaging: mark.mazzye.1@9000.direct.athenahealth.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766448000000",
    "number": "1295713592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 BLACKSTONE VALLEY PL",
            "city": "LINCOLN",
            "state": "RI",
            "postal_code": "028651179",
            "telephone_number": "401-302-8821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 BLACKSTONE VALLEY PL",
            "city": "LINCOLN",
            "state": "RI",
            "postal_code": "028651179",
            "telephone_number": "401-302-8821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZZYE",
        "first_name": "MARK",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-06",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "RI",
            "license": "PA01320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, RI

Sources for this page

Verify at the official NPI Registry.