Audrey Vizzaccaro, P.A.-C.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

5601003044 Issued in MI

Practice address

1261 South Lapeer Rd
Ste 201
Lake Orion, MI 48360

Phone

(248) 814-7546

Fax

(248) 814-8900

NPI assigned

Apr 14, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

Physician Assistant

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Madeline Turner DO PCGroup PAC ID 2961437744, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: avizzaccaro@drturner.emadirect.md
• Direct secure messaging: audrey.vizzaccaro.p1@direct.dcloskin.nextgenshare.com

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.

• Madeline Turner DO PC

  • Dermatology Physician
  • Lake Orion, MI
  • NPI 1780863498
  Medicare reassignment Care Compare group
• Orion Family Physicians PC

  • Family Medicine Physician
  • Lake Orion, MI
  • NPI 1578627816
  NPD (past)

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

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208131200000",
    "number": "1982878609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1261 SOUTH LAPEER RD",
            "address_2": "STE 201",
            "city": "LAKE ORION",
            "state": "MI",
            "postal_code": "48360",
            "telephone_number": "248-814-7546",
            "fax_number": "248-814-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1261 SOUTH LAPEER RD",
            "address_2": "STE 201",
            "city": "LAKE ORION",
            "state": "MI",
            "postal_code": "48360",
            "telephone_number": "248-814-7546",
            "fax_number": "248-814-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIZZACCARO",
        "first_name": "AUDREY",
        "name_prefix": "Mrs.",
        "credential": "P.A.-C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-14",
        "last_updated": "2008-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601003044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Veronica Marilena Varzaru, RPH
• Carmella Josephine Venturini, FNP-C
• Lynne Katherine Versace, RN
• Kyle Vires
• Visionworks Inc.
• VMLP Ah PLC
• Mary Jo K Voelpel, D.O.
• Gita K Vora, MD
• Walgreen Co
• Walgreen Co

• Medical Physician Assistant in Lake Orion, MI
• Providers in Lake Orion, MI by specialty
• Medical Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.