Jennifer Michelle Mazurek, DNP, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5011760 Issued in NC

Practice address

3484 US Highway 13 S
Goldsboro, NC 27530-1025

Phone

(919) 689-2222

Fax

(919) 689-2239

NPI assigned

May 22, 2019

Last updated

Jan 24, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Nurse Practitioner

Education

Brody School of Medicine at East Carolina University, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bluebell Health and Wellness PLLCGroup PAC ID 6406241017, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• 3HC Home health agency, Goldsboro, NC, CCN 347104
• Centerwell Home Health Home health agency, Goldsboro, NC, CCN 347331
• Well Care Home Health of the Southern Triangle, Inc. Home health agency, Holly Springs, NC, CCN 347336
• Unc Health Care Wayne Hospital, Goldsboro, NC, CCN 340010

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jennifer.mazurek.1@25569.direct.athenahealth.com

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Bluebell Health & Wellness, PLLC

  • Rural Health Clinic/Center
  • Goldsboro, NC
  • NPI 1740940790

  5% Or Greater Direct Ownership Interest, General Partnership Interest

  CMS ownership

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.

• Bluebell Health & Wellness, PLLC

  • Rural Health Clinic/Center
  • Goldsboro, NC
  • NPI 1740940790
  Medicare reassignment Care Compare group NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Home Health and Hospice Care, Inc.

  • Community Based Hospice Care Agency
  • Goldsboro, NC
  • NPI 1558396622

  Home health agency

  Care Compare affiliation
• Home Health and Hospice Care, Inc.

  • Home Health Agency
  • Goldsboro, NC
  • NPI 1750337366
  Care Compare affiliation
• Tar Heel Health Care Services, LLC

  dba CenterWell Home Health

  • Home Health Agency
  • Goldsboro, NC
  • NPI 1558391391
  Care Compare affiliation
• Wayne Memorial Hospital Inc

  dba UNC Health Wayne

  • General Acute Care Hospital
  • Goldsboro, NC
  • NPI 1750353462
  Care Compare affiliation
• Well Care Home Health of the Southern Triangle, Inc.

  • Home Health Agency
  • Holly Springs, NC
  • NPI 1508418005
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1558483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1679130074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3484 US HIGHWAY 13 S",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275301025",
            "telephone_number": "919-689-2222",
            "fax_number": "919-689-2239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3484 US HIGHWAY 13 S",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275301025",
            "telephone_number": "919-689-2222",
            "fax_number": "919-689-2239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZUREK",
        "first_name": "JENNIFER",
        "middle_name": "MICHELLE",
        "credential": "DNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-22",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5011760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONER LICENSE NUMBER",
            "identifier": "5011760",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Lynette Maynor, PHARM.D.
• James Perry Mayo Jr., MD
• Nancy C Mayo, MS, MFT
• Philip Douglas Mayo, M.D.
• Samantha Danika Mayo, PA-C
• Maryann McCabe-Jones, MA,CCC-SLP
• Gerard A McCall, M.A.
• Nancy McCall, MS,CCC-SLP
• Sidney B McCall, PARAMEDIC
• Clement Leon McCaskill, D.O.

• Family Nurse Practitioner in Goldsboro, NC
• Providers in Goldsboro, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• 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.