Individual provider Active NPI

Jennifer Rebecca Mazza, ARNP, FNP-C

  • Family Nurse Practitioner
  • Fairfield, IA
National Provider Identifier
1366968968
Registry record updated Jun 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A119156 Issued in IA
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

Updated by the provider on Jun 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
Emergency Services of Iowa LLCGroup PAC ID 1557600756, 10 clinicians

Practice addresses (Care Compare)

1001 Pennsylvania Ave
Ottumwa, IA 52501-2186
Phone (641) 684-2300

Hospital & facility affiliations

  • Van Buren County Hospital Hospital, Keosauqua, IA, CCN 161337

Merit-based Incentive Payment System (MIPS)

Final score
80.02 of 100Reported as group
Quality
75.68
Promoting interoperability
78
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ottumwa Health Group LLC CurrentSince Jun 27, 2023 Accepting new patients
Van Buren County Hospital Physician Assistant CurrentSince Nov 12, 2024 Accepting new patients
Emergency Services of Iowa LLC Physician Assistant CurrentSince Jan 28, 2024 Accepting new patients
Van Buren County Hospital CurrentSince Sep 1, 2025 Accepting new patients
Ottumwa Health Group LLC CurrentSince Jun 27, 2023 Accepting new patients
Ottumwa Health Group LLC Current Accepting new patients
Van Buren County Hospital CurrentSince Nov 12, 2024 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

  • Direct secure messaging: jennifer.mazza.2@6270.direct.athenahealth.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.