Individual provider Active NPI

Laura May Mazzeo, NP-C

  • Family Nurse Practitioner
  • Plymouth, MA
National Provider Identifier
1922440940
Registry record updated Jan 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F0713168 Issued in MA
Practice address
45 Resnik Rd
Plymouth, MA 02360-4844
Phone
(508) 746-2695
NPI assigned
Jul 18, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F0713168 MA Primary

Addresses

Primary practice location

45 Resnik Rd
Plymouth, MA 02360-4844

Mailing address

320 Tanglewood Drive
Osterville, MA 02655
Phone (508) 737-4796

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20140328000370 MA Practitioner - Nurse Practitioner 7315178712 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Plymouth Bay Internal MedicineGroup PAC ID 8224093760, 2 clinicians

Practice addresses (Care Compare)

441 Route 130
Sandwich, MA 02563-2340
Phone (774) 338-5125

Hospital & facility affiliations

  • Cape Cod Hospital Hospital, Hyannis, MA, CCN 220012
  • Beth Israel Deaconess Hospital Plymouth Hospital, Plymouth, MA, CCN 220060
  • Falmouth Hospital Hospital, Falmouth, MA, CCN 220135

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
100
Improvement activities
40
Cost
69.35

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F0713168MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Plymouth Bay Internal Medicine CurrentSince Jan 1, 2014 Accepting new patients

Locations

45 Resnik Rd
Ste 302
Plymouth, MA 02360
Phone (508) 746-2696

441 Route 130
Sandwich, MA 02563
Phone (508) 833-3999

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DHJBBA

Organizations & group practices 1

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 3

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": "1374105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483488000000",
    "number": "1922440940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 TANGLEWOOD DRIVE",
            "city": "OSTERVILLE",
            "state": "MA",
            "postal_code": "02655",
            "telephone_number": "508-737-4796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 RESNIK RD",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023604844",
            "telephone_number": "508-746-2695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZZEO",
        "first_name": "LAURA",
        "middle_name": "MAY",
        "name_prefix": "Ms.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-18",
        "last_updated": "2017-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "F0713168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MA

Sources for this page

Verify at the official NPI Registry.