Individual provider Active NPI

Patricia A Mozzillo, CRNA

  • Certified Registered Nurse Anesthetist
  • Concord, NH
National Provider Identifier
1609292028
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
069608-23 Issued in NH
Practice address
264 Pleasant St
Concord, NH 03301-2551
Phone
(603) 224-3368
Fax
(603) 228-7268
NPI assigned
Mar 10, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Registered Nurse 163WC0200X RN135701 AZ
Certified Registered Nurse Anesthetist 367500000X 069608-23 NH Primary

Addresses

Primary practice location

264 Pleasant St
Concord, NH 03301-2551

Mailing address

250 Pleasant St
Concord, NH 03301-7559
Phone (603) 789-9103

Other practice location 1

250 Pleasant St.
Concord, NH 03301-7559
Phone (603) 789-9103

Other practice location 2

80 Highland St
Laconia, NH 03246-3235
Phone (603) 789-9103

Other practice location 3

60 Commercial St Ste 201
Concord, NH 03301-5096
Phone (603) 789-9103

Other identifiers 1

IdentifierTypeStateIssuer
3097170MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141201000717 NH Practitioner - Certified Registered Nurse Anesthetist (Crna) 1951623073 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
University of South Carolina School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Granite State Anesthesia Partners, LLCGroup PAC ID 6709315708, 41 clinicians
Concord Hospital IncGroup PAC ID 6103721790, 572 clinicians

Practice addresses (Care Compare)

100 McGregor St
Manchester, NH 03102-3730
Phone (800) 437-9666

250 Pleasant St
Concord, NH 03301-7559
Phone (603) 230-3138

264 Pleasant St
Concord, NH 03301-2551
Phone (603) 224-3368

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN135701AZMDCritical Care Medicine Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Hospital, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Northeast Orthopaedic Alliance PLLC CurrentSince Nov 1, 2024 Accepting new patients
Granite State Anesthesia Partners, LLC CurrentSince Feb 23, 2025 Accepting new patients
Concord Hospital, Inc. Current Accepting new patients
Concord Hospital, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Northeast Orthopaedic Alliance PLLC CurrentSince Nov 1, 2024 Accepting new patients
Amoskeag Anesthesia, PLLC Nurse Anesthetist, Certified Registered CurrentSince Dec 11, 2023 Accepting new patients
Matrix Pathology and Laboratory Services PLLC Current Accepting new patients
Concord Orthopaedics Professional Association Nurse Anesthetist, Certified Registered Current Accepting new patients
Anesthesia Associates Professional Association Nurse Anesthetist, Certified Registered CurrentSince Jun 16, 2014 Accepting new patients
Catholic Medical Center CurrentSince Nov 1, 2023 Accepting new patients
Concord Orthopaedics Professional Association CurrentSince Feb 2, 2024 Accepting new patients
Anesthesia Care Group PC CurrentSince Jun 27, 2021 Accepting new patients
Concord Orthopaedics Professional Association CurrentSince Feb 2, 2024 Accepting new patients

Locations

250 Pleasant St
Ste 2
Concord, NH 03301

1 Pillsbury St
Ste 202
Concord, NH 03301
Phone (603) 224-4776

264 Pleasant St
Concord, NH 03301

250 Pleasant St
Concord, NH 03301
Phone (603) 225-2711

60 Commercial St
Ste 201
Concord, NH 03301
Phone (603) 789-9103

246 Pleasant St
Concord, NH 03301
Phone (603) 224-1223

57 Regional Dr
Ste 1
Concord, NH 03301

6 Tsienneto Rd
Ste 200
Derry, NH 03038
Phone (603) 426-5222

5 Alumni Dr
Exeter, NH 03833
Phone (603) 580-6339

80 Highland St
Laconia, NH 03246
Phone (603) 527-7100

80 Highland St
Ste 2
Laconia, NH 03246

85 Spring St
Ste 401
Laconia, NH 03246
Phone (603) 230-1939

100 McGregor St
Ste C234
Manchester, NH 03102
Phone (603) 663-6180

100 McGregor St
Manchester, NH 03102
Phone (603) 663-6931

1 Elliot Way
Manchester, NH 03103
Phone (603) 663-2271

88 McGregor St
Ste 303
Manchester, NH 03102
Phone (603) 647-9325

103 Boulder Point Dr
Plymouth, NH 03264
Phone (603) 536-1284

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 2

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": "1394409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1609292028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 PLEASANT ST",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033017559",
            "telephone_number": "603-789-9103",
            "fax_number": "603-227-7832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "264 PLEASANT ST",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033012551",
            "telephone_number": "603-224-3368",
            "fax_number": "603-228-7268"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 Pleasant St.",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NH",
            "postal_code": "033017559",
            "country_code": "US",
            "telephone_number": "603-789-9103",
            "fax_number": "603-227-7832",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "80 Highland St",
            "address_purpose": "LOCATION",
            "city": "Laconia",
            "state": "NH",
            "postal_code": "032463235",
            "country_code": "US",
            "telephone_number": "603-789-9103",
            "fax_number": "603-227-7832",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "60 Commercial St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NH",
            "postal_code": "033015096",
            "country_code": "US",
            "telephone_number": "603-789-9103",
            "fax_number": "603-227-7832",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOZZILLO",
        "first_name": "PATRICIA",
        "middle_name": "A",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-10",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "AZ",
            "license": "RN135701",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NH",
            "license": "069608-23",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3097170",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; 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.

Verify at the official NPI Registry.