Active NPI
Marion Beth Mazzola, MD
- Family Medicine Physician
- Arvada, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- DR.0042162
- Practice address
- 5511 W 56TH Ave
Arvada, CO 80002-2807 - Phone
- (303) 828-7473
- Fax
- (303) 997-6971
- NPI assigned
- Jul 6, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | DR.0042162 | CO | Primary |
Addresses
Primary practice location
5511 W 56TH Ave
Arvada, CO 80002-2807
Mailing address
5511 W 56TH Ave Unit 100
Arvada, CO 80002-2807
Phone (303) 828-7473
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 58200363 | Medicaid | CO |
Other names 1
- Beth Mazzola
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinica Campesina Family Health Services | Current | Accepting new patients | |
| Clinica Campesina Family Health Services | Current | Accepting new patients | |
| Pagosa Springs Family Medicine Center PC | Specialist | Past | Accepting new patients |
| Pagosa Springs Family Medical Center | Specialist | Past | Accepting new patients |
Locations
2525 13th St
Boulder, CO 80304
Phone (303) 449-6050
1735 S Public Rd
Lafayette, CO 80026
Phone 30366530361061
1345 Plaza Ct N
Ste 1A
Lafayette, CO 80026
Phone (303) 665-2962
1735 S Public Rd
Ste 203
Lafayette, CO 80026
8990 Washington St
Thornton, CO 80229
Phone (720) 929-1655
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/7771e67c-eed3-4c07-8b39-4ee1de7dfb76/
Organizations & group practices 4
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.
-
- Clinic/Center
- Lafayette, CO
- NPI 1225025406
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Longmont, CO
- NPI 1558109223
-
- Specialist
- Pagosa Springs, CO
- NPI 1235174392
-
- Specialist
- Pagosa Springs, CO
- NPI 1023133824
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763510400000",
"number": "1366474041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5511 W 56TH AVE UNIT 100",
"city": "ARVADA",
"state": "CO",
"postal_code": "800022807",
"telephone_number": "303-828-7473",
"fax_number": "303-997-6971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5511 W 56TH AVE",
"city": "ARVADA",
"state": "CO",
"postal_code": "800022807",
"telephone_number": "303-828-7473",
"fax_number": "303-997-6971"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAZZOLA",
"first_name": "MARION",
"middle_name": "BETH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-06",
"last_updated": "2025-11-19",
"certification_date": "2025-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CO",
"license": "DR.0042162",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "58200363",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "BETH",
"last_name": "MAZZOLA",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Arvada, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.