Active NPI
Jennifer Rebecca Mazza, ARNP, FNP-C
- Family Nurse Practitioner
- Fairfield, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- A119156
- Practice address
- 2709 W Briggs Ave
Ste 1
Fairfield, IA 52556-2649 - Phone
- (319) 356-1616
- NPI assigned
- Aug 16, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | A119156 | IA | |
| Family Nurse Practitioner | 363LF0000X | A119156 | IA | Primary |
Addresses
Primary practice location
2709 W Briggs Ave
Ste 1
Fairfield, IA 52556-2649
Mailing address
1010 S 4TH St
Fairfield, IA 52556-3917
Phone (641) 451-1316
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171229000595 | IA | Practitioner - Nurse Practitioner | 6204194939 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1001 Pennsylvania Ave
Ottumwa, IA 52501-2186
Phone (641) 684-2300
Hospital & facility affiliations
- Van Buren County Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.02 of 100
- Quality
- 75.68
- Promoting interoperability
- 78
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ottumwa Health Group LLC | Current | Accepting new patients | |
| Van Buren County Hospital | Physician Assistant | Current | Accepting new patients |
| Emergency Services of Iowa LLC | Physician Assistant | Current | Accepting new patients |
| Van Buren County Hospital | Current | Accepting new patients | |
| Ottumwa Health Group LLC | Current | Accepting new patients | |
| Ottumwa Health Group LLC | Current | Accepting new patients | |
| Van Buren County Hospital | Current | Accepting new patients | |
| Van Buren County Hospital | Past | Accepting new patients |
Locations
304 Franklin St
Keosauqua, IA 52565
Phone (319) 293-3171
1013 Pennsylvania Ave
Ottumwa, IA 52501
Phone (641) 683-6868
1013 Pennsylvania Ave
Ste E
Ottumwa, IA 52501
Phone (641) 684-3200
1001 Pennsylvania Ave
Ottumwa, IA 52501
Phone (641) 472-4111
Interoperability endpoints
- jennifer.mazza.2@6270.direct.athenahealth.com
- jmazza34543@uihcdirect.org
Organizations & group practices 8
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.
-
- Emergency Medicine Physician
- Ottumwa, IA
- NPI 1477017663
IA, Physician Assistant
-
- Emergency Medicine Physician
- Keosauqua, IA
- NPI 1316063076
IA, Physician Assistant
-
- Rural Health Clinic/Center
- Ottumwa, IA
- NPI 1336919364
-
- Rural Health Clinic/Center
- Ottumwa, IA
- NPI 1649891722
-
- Medicare Defined Swing Bed Hospital Unit
- Keosauqua, IA
- NPI 1598844037
-
- Rural Health Clinic/Center
- Farmington, IA
- NPI 1992875678
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718928000000",
"number": "1366968968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 S 4TH ST",
"city": "FAIRFIELD",
"state": "IA",
"postal_code": "525563917",
"telephone_number": "641-451-1316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2709 W BRIGGS AVE",
"address_2": "STE 1",
"city": "FAIRFIELD",
"state": "IA",
"postal_code": "525562649",
"telephone_number": "319-356-1616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAZZA",
"first_name": "JENNIFER",
"middle_name": "REBECCA",
"name_prefix": "Mrs.",
"credential": "ARNP, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-16",
"last_updated": "2024-06-21",
"certification_date": "2024-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IA",
"license": "A119156",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IA",
"license": "A119156",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairfield, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.