Individual provider Active NPI

Jennifer J Mazorra, NP-C

  • Family Nurse Practitioner
  • Naples, FL
National Provider Identifier
1629323407
Registry record updated Jul 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP 9266223 Issued in FL
Practice address
625 9TH St N
Suite 201
Naples, FL 34102-8143
Phone
(239) 261-2000
Fax
(239) 261-2266
NPI assigned
Jul 18, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2015

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 ARNP 9266223 FL
Family Nurse Practitioner 363LF0000X ARNP 9266223 FL Primary

Addresses

Primary practice location

625 9TH St N
Suite 201
Naples, FL 34102-8143

Mailing address

3190 29TH Ave SW
Naples, FL 34117-8418
Phone (239) 821-4932

Other identifiers 1

IdentifierTypeStateIssuer
RN9266223OtherFLFLORIDA BOARD OF NURSING

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20131126001401 FL Practitioner - Nurse Practitioner 3870731813 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Swicft Medical Partners LLCGroup PAC ID 1052379518, 9 clinicians

Practice addresses (Care Compare)

625 9TH St N
Suite 201
Naples, FL 34102-8143

625 Tamiami N TRL
Suite 201
Naples, FL 34102-8143
Phone (239) 261-2000

Hospital & facility affiliations

  • Naples Community Hospital Hospital, Naples, FL, CCN 100018

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP 9266223FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic LLC Nurse Practitioner CurrentSince Sep 28, 2015 Accepting new patients
Swicft Medical Partners LLC CurrentSince Oct 18, 2013 Accepting new patients

Locations

50 Duval Station Rd
Jacksonville, FL 32218
Phone (904) 751-4600

121 W Macclenny Ave
Macclenny, FL 32063
Phone (904) 259-6380

12401 Miramar Pkwy
Miramar, FL 33027
Phone (954) 538-8473

625 Tamiami Trl N
Ste 201
Naples, FL 34102
Phone (239) 261-2000

1 Old Kings Rd
Palm Coast, FL 32137
Phone (386) 383-9538

8765 S Dixie Hwy
Pinecrest, FL 33156
Phone (305) 740-6840

7599 W Sand Lake Rd
Sand Lake, FL 32819
Phone (407) 352-0943

Interoperability endpoints

  • Direct secure messaging: jennifer.mazorra.1@9571.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/9571/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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": "1342569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438300800000",
    "number": "1629323407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3190 29TH AVE SW",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341178418",
            "telephone_number": "239-821-4932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 9TH ST N",
            "address_2": "SUITE 201",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341028143",
            "telephone_number": "239-261-2000",
            "fax_number": "239-261-2266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZORRA",
        "first_name": "JENNIFER",
        "middle_name": "J",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-18",
        "last_updated": "2015-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP 9266223",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP 9266223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BOARD OF NURSING",
            "identifier": "RN9266223",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.