Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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Michaella Elizabeth Marzullo, PA-C

Individual provider Physician Assistant · NPI 1003442476

Michaella Elizabeth Marzullo, PA-C is a Physician Assistant in Worcester, Massachusetts. Qualified in 2020, 6 years ago. Practices with Reliant Medical Group Inc, a 638-clinician group and accepts Medicare assignment.

Years since qualifying
6
In the registry since
2020
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

123 Summer St Ste 521S
Worcester, MA 01608-1216
Phone: (508) 852-0600
Fax: (508) 368-3146
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1003442476
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedMarch 18, 2020
Last updated in NPPESApril 8, 2026
Certification dateApril 8, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Reliant Medical Group Inc — 638 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Colleagues at Reliant Medical Group Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 638 clinicians in the practice; 12 are shown here.

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