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

Mrs. Halina Kuc-Mazgaj

Individual provider Family Nurse Practitioner · NPI 1003103185

Mrs. Halina Kuc-Mazgaj is a Nurse Practitioner in Providence, Rhode Island. Qualified in 2010, 16 years ago. Practices with Lifespan Physician Group Inc, a 1,125-clinician group and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
16
Licensed in
RI
In the registry since
2011

Practice location Address checks out

164 Summit Ave The Miriam Hospital
Providence, RI 02906-2853
Phone: (401) 793-3902
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN01111 (RI)

Record details

NPI number1003103185
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 8, 2011
Last updated in NPPESJanuary 18, 2017

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Lifespan Physician Group Inc — 1125 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Providence