Active NPI
Daniel Christopher Mazzella, CRNA
- Certified Registered Nurse Anesthetist
- Charleston, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 085360
- Practice address
- 333 Laidley St
Charleston, WV 25301-1614 - Phone
- (304) 347-6500
- NPI assigned
- Jul 12, 2011
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 48555 | WV | |
| Certified Registered Nurse Anesthetist | 367500000X | 085360 | WV | Primary |
Addresses
Primary practice location
333 Laidley St
Charleston, WV 25301-1614
Mailing address
110 Roane St
Charleston, WV 25302-2334
Phone (304) 344-0096
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3810021321 | Medicaid | WV | |
| Q37026A | Other | WV | MEDICARE PTAN |
| P00981780 | Other | WV | MEDICARE RAILROAD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV, NC
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
155 Memorial Dr
Pinehurst, NC 28374-8710
Phone (910) 215-1000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.75 of 100
- Quality
- 77.19
- Promoting interoperability
- 86
- Improvement activities
- 40
- Cost
- 80.74
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 48555 | WV | MD | Registered Nurse |
| 085360 | WV | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Firsthealth of the Carolinas, Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Firsthealth of the Carolinas, Inc Dba Firsthealth Weight Management Clinic | Current | Accepting new patients | |
| Professional Anesthesia Service,Inc. | Current | Accepting new patients |
Locations
155 Memorial Dr
Pinehurst, NC 28374
Phone (910) 215-1000
520 Allen St
Troy, NC 27371
Phone (910) 571-5000
333 Laidley St
Charleston, WV 25301
Phone (304) 347-6116
110 Roane St
Charleston, WV 25302
Phone (304) 344-0096
4605 Maccorkle Ave SW
South Charleston, WV 25309
Phone (304) 414-4800
Organizations & group practices 3
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.
-
- Certified Registered Nurse Anesthetist
- Troy, NC
- NPI 1053482596
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Charleston, WV
- NPI 1720035827
-
- Obesity Medicine (Preventive Medicine) Physician
- Pinehurst, NC
- NPI 1316626104
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Obesity Medicine (Internal Medicine) Physician
- Pinehurst, NC
- NPI 1740463967
Hospital
-
- General Acute Care Hospital
- Pinehurst, NC
- NPI 1740208081
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325030400000",
"number": "1508154592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 ROANE ST",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253022334",
"telephone_number": "304-344-0096",
"fax_number": "304-342-4725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 LAIDLEY ST",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253011614",
"telephone_number": "304-347-6500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAZZELLA",
"first_name": "DANIEL",
"middle_name": "CHRISTOPHER",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-07-12",
"last_updated": "2011-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WV",
"license": "48555",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WV",
"license": "085360",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810021321",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "Q37026A",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00981780",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.