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

Lisa M Mazzella

Individual provider Registered Nurse · NPI 1053752576

Lisa M Mazzella is a Nurse Practitioner in Euclid, Ohio. Qualified in 2013, 13 years ago. Practices with Partners in Nephrology Care Ltd, a 24-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
13
Licensed in
OH
In the registry since
2013
Specialties on file
2
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Practice location Address checks out

25301 Euclid Ave
Euclid, OH 44117-2609
Phone: (216) 261-6263
Fax: (216) 261-4964
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 14783-NP (OH)
Registered Nurse Taxonomy 163W00000X · Licence RN.334407 (OH)

Record details

NPI number1053752576
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 12, 2013
Last updated in NPPESAugust 24, 2021
Certification dateAugust 24, 2021
Mailing address25301 Euclid Ave, Euclid, OH 44117-2609

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Partners In Nephrology Care Ltd — 24 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Euclid