Individual provider Active NPI

Marzena Kamzol-Gazda, BSN, MSN, CFNP, RNFA

  • Nurse Practitioner
  • Sault Ste Marie, MI
National Provider Identifier
1487833851
Registry record updated Dec 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704193228 Issued in MI
Practice address
500 Osborn Blvd
Sault Ste Marie, MI 49783-1822
Phone
(906) 635-4460
Fax
(906) 635-7872
NPI assigned
Nov 1, 2007
Last updated
Dec 30, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704193228 MI Primary
Registered Nurse First Assistant 163WR0006X 4704193228 MI

Addresses

Primary practice location

500 Osborn Blvd
Sault Ste Marie, MI 49783-1822

Mailing address

500 Osborn Blvd.
Sault Ste Marie, MI 49783-1822
Phone (906) 635-4460

Other names 1

  • Marzena Monica Kamzol-Gazoa Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20041203000977 MI Practitioner - Nurse Practitioner 6103882899 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mymichigan Medical Center SaultGroup PAC ID 7315936481, 101 clinicians

Practice addresses (Care Compare)

500 Osborn Blvd
Sault S Marie, MI 49783-1822
Phone (906) 635-4460

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor on Science - Nursing, Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mymichigan Medical Center Sault Current Accepting new patients
Mymichigan Medical Center Sault CurrentSince Dec 3, 2007 Accepting new patients
Mymichigan Medical Center Sault CurrentSince Dec 3, 2007 Accepting new patients
Mymichigan Medical Center Sault Past Accepting new patients

Locations

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

502 W Harrie St
Newberry, MI 49868
Phone (906) 293-9131

333 Magazine St
Sault South Marie, MI 49783
Phone (906) 253-9374

500 Osborn Blvd
Sault South Marie, MI 49783
Phone (906) 635-4350

550 Osborn Blvd
Sault South Marie, MI 49783
Phone (906) 253-2665

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1193875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325203200000",
    "number": "1487833851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 OSBORN BLVD.",
            "city": "SAULT STE MARIE",
            "state": "MI",
            "postal_code": "497831822",
            "telephone_number": "906-635-4460",
            "fax_number": "906-635-7872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 OSBORN BLVD",
            "city": "SAULT STE MARIE",
            "state": "MI",
            "postal_code": "497831822",
            "telephone_number": "906-635-4460",
            "fax_number": "906-635-7872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMZOL-GAZDA",
        "first_name": "MARZENA",
        "credential": "BSN, MSN, CFNP, RNFA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-01",
        "last_updated": "2011-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704193228",
            "primary": true
        },
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "MI",
            "license": "4704193228",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARZENA",
            "last_name": "KAMZOL-GAZOA",
            "middle_name": "MONICA",
            "credential": "BSN, MSN, CFNP, RNFA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sault Ste Marie, MI

Sources for this page

Verify at the official NPI Registry.