Individual provider Active NPI

Jennifer Ashley McKenzie, FNP-BC

  • Family Nurse Practitioner
  • Arlington, VA
National Provider Identifier
1386060804
Registry record updated Feb 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024171382 Issued in VA
Practice address
1201 S Hayes St
Arlington, VA 22202-2700
Phone
(866) 389-2727
Fax
(401) 652-9787
NPI assigned
Mar 7, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024171382 VA Primary

Addresses

Primary practice location

1201 S Hayes St
Arlington, VA 22202-2700

Mailing address

3610D King St
Alexandria, VA 22302-1908
Phone (703) 845-2815

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA, MD3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20140515002183 DC Practitioner - Nurse Practitioner 9638392871 Reassigns benefits to 5 organizations
I20140523000790 VA Practitioner - Nurse Practitioner 9638392871 Reassigns benefits to 2 organizations
I20201118001088 MD Practitioner - Nurse Practitioner 9638392871 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians

Practice addresses (Care Compare)

1805 Columbia Rd NW
MMG Adams Morgan
Washington, DC 20009-2001
Phone (202) 797-4950

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Urgent Care, LLC CurrentSince Aug 1, 2014 Accepting new patients
Privia Medical Group, LLC CurrentSince Aug 14, 2019 Accepting new patients
Medstar Urgent Care LLC Current Accepting new patients
Privia Medical Group, LLC CurrentSince Aug 14, 2019 Accepting new patients
Medstar Urgent Care LLC Current Accepting new patients
Health Bridge, LLC CurrentSince Mar 14, 2025 Accepting new patients
Commonwealth Emergency Physicians PC CurrentSince Mar 9, 2019 Accepting new patients
Medstar Urgent Care LLC CurrentSince Aug 1, 2014 Accepting new patients
Medstar Medical Group II LLC CurrentSince Dec 1, 2020 Accepting new patients
Medstar Medical Group II LLC Past Accepting new patients

Locations

1805 Columbia Rd NW
Washington, DC 20009
Phone (202) 797-4950

4910 Massachusetts Ave NW
Washington, DC 20016
Phone (202) 237-0015

1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401

6317 York Rd
Baltimore, MD 21212
Phone (443) 777-6890

29955 Three Notch Rd
Ste 100
Charlotte Hall, MD 20622
Phone (301) 290-5300

1406 Crain Hwy S
Ste 106
Glen Burnie, MD 21061
Phone (410) 768-6440

6401 America Blvd
Hyattsville, MD 20782
Phone (301) 209-5480

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

3064 Waldorf Market Pl
Waldorf, MD 20603
Phone (301) 932-5960

11915 Georgia Ave
Wheaton, MD 20902
Phone (301) 942-4505

3610D King St
Alexandria, VA 22302
Phone (703) 845-2815

2501 Parkers Ln
Alexandria, VA 22306
Phone (703) 664-7000

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

8644 Sudley Rd
#220
Manassas, VA 20110

9100 Arboretum Pkwy
Ste 130
North Chesterfield, VA 23236
Phone (804) 272-3300

9100 Arboretum Pkwy
Ste 285
North Chesterfield, VA 23236

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1394150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582243200000",
    "number": "1386060804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3610D KING ST",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223021908",
            "telephone_number": "703-845-2815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 S HAYES ST",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222022700",
            "telephone_number": "866-389-2727",
            "fax_number": "401-652-9787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENZIE",
        "first_name": "JENNIFER",
        "middle_name": "ASHLEY",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-07",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024171382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

Verify at the official NPI Registry.