Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alexandra Nicole Mazzaro, CAA

Individual provider Anesthesiologist Assistant · NPI 1811791981

Alexandra Nicole Mazzaro, CAA is an Anesthesiology Assistant in Charleston, South Carolina. Qualified in 2024, 2 years ago. Practices with Trident Anesthesia Group LLC, a 119-clinician group and accepts Medicare assignment.

Years since qualifying
2
In the registry since
2025

Practice location Address checks out

9263 Medical Plaza Dr Ste E
Charleston, SC 29406-7112
Phone: (843) 572-1228
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiologist Assistant (primary) Taxonomy 367H00000X

Record details

NPI number1811791981
Entity typeIndividual (Type 1)
GenderFemale
Credentials CAA
Sole proprietorYes
NPI enumeratedApril 1, 2025
Last updated in NPPESApril 1, 2025
Certification dateApril 1, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Trident Anesthesia Group Llc — 119 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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