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

MS. Alice M Mazzella

Individual provider Adult Health Nurse Practitioner · NPI 1023452992

MS. Alice M Mazzella is a Nurse Practitioner in Charleston, South Carolina. Qualified in 1984, 42 years ago. Practices with Coastal Carolina Multispecialty Associates LLC, a 48-clinician group and accepts Medicare assignment. Licensed in New York and South Carolina.

Years since qualifying
42
Licensed in
NY, SC
In the registry since
2013
Specialties on file
3
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Practice location Address checks out

9304 Medical Plaza Dr Ste D
Charleston, SC 29406-9143
Phone: (843) 863-5600
Fax: (843) 553-2123
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 22064 (SC)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 22064 (SC)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence F302704-1 (NY)

Record details

NPI number1023452992
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 23, 2013
Last updated in NPPESJanuary 27, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1984 (42 years in practice)
Group practice Coastal Carolina Multispecialty Associates Llc — 48 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Charleston