NPIMap

Individual provider Active NPI

Barbara J Mazzara, APRN

  • Nurse Practitioner
  • Meriden, CT
National Provider Identifier
1396394722
Registry record updated Nov 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
PENDING Issued in CT
Practice address
435 Lewis Ave
Meriden, CT 06451-2101
Phone
(203) 949-2700
Fax
(203) 949-2712
NPI assigned
Sep 9, 2019
Last updated
Nov 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X PENDING CT Primary

Addresses

Primary practice location

435 Lewis Ave
Meriden, CT 06451-2101

Mailing address

101 N Plains Industrial Rd Ste 4
Wallingford, CT 06492-5835
Phone (203) 949-2700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191210002476 CT Practitioner - Nurse Practitioner 6800229543 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Midstate Radiology Associates LLCGroup PAC ID 4880593565, 89 clinicians

Practice addresses (Care Compare)

435 Lewis Ave
Meriden, CT 06451-2101
Phone (203) 949-2700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.37 of 100Reported as group
Quality
90
Improvement activities
40
Cost
78.43

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PENDINGCTMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
The Hospital of Central Connecticut at New Britain General and Bradley CurrentSince Mar 1, 2025 Accepting new patients
Diagnostic Imaging Services of CT, LLC Nurse Practitioner CurrentSince Jan 1, 2023 Accepting new patients
Midstate Medical Center Current Accepting new patients
Midstate Medical Center CurrentSince Mar 1, 2025 Accepting new patients
Midstate Medical Center CurrentSince Mar 1, 2025 Accepting new patients
Meriden Imaging Center, Inc. Nurse Practitioner CurrentSince Dec 1, 2019 Accepting new patients
Midstate Radiology Associates, LLC Nurse Practitioner CurrentSince Jan 1, 2023 Accepting new patients
The Hospital of Central Connecticut at New Britain General and Bradley CurrentSince Mar 1, 2025 Accepting new patients

Locations

22 Pine St
Ste 210
Bristol, CT 06010
Phone (860) 940-4838

680 S Main St
Cheshire, CT 06410
Phone (203) 272-3595

435 Lewis Ave
Meriden, CT 06451
Phone (203) 284-1340

100 Grand St
New Britain, CT 06052
Phone (860) 224-5011

1 Towne Park Plz
Norwich, CT 06360
Phone (860) 886-1433

101 N Plains Rd
Wallingford, CT 06492
Phone (203) 265-0018

863 N Main Street Ext
Wallingford, CT 06492
Phone (203) 269-0885

Interoperability endpoints

  • Direct secure messaging: barbara.spermullo@xdr.hhchealthdirect.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1567987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701302400000",
    "number": "1396394722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 N PLAINS INDUSTRIAL RD STE 4",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064925835",
            "telephone_number": "203-949-2700",
            "fax_number": "203-949-2712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 LEWIS AVE",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064512101",
            "telephone_number": "203-949-2700",
            "fax_number": "203-949-2712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZZARA",
        "first_name": "BARBARA",
        "middle_name": "J",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-09",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meriden, CT

Sources for this page

Verify at the official NPI Registry.