Active NPI
Miranda Rozecki
- Family Nurse Practitioner
- Washington, DC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- NP500004527
- Practice address
- 765 Kenwilworth Avenue
Washington, DC 20019 - Phone
- (202) 469-4699
- NPI assigned
- Oct 21, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AC002179 | MD | |
| Family Nurse Practitioner | 363LF0000X | 0024175524 | VA | |
| Family Nurse Practitioner | 363LF0000X | NP500004527 | DC | Primary |
Addresses
Primary practice location
765 Kenwilworth Avenue
Washington, DC 20019
Mailing address
765 Kenilworth Ave
Washington, DC 20019-4351
Phone (202) 469-4699
Other names 1
- Miranda Wheeler
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mrozecki515825@soc.inova.org | Health Information Exchange (HIE) | Inova Health Care Services |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
123 45TH St NE
Washington, DC 20019-4632
Phone (202) 388-7891
1631 14TH St NW
Washington, DC 20009-4334
Phone (202) 328-1084
1900 Massachusetts Ave SE
Washington, DC 20019-2542
Phone (202) 548-6500
3020 14TH St NW
Washington, DC 20009-6865
Phone (202) 745-4300
765 Kenilworth Ter NE
Washington, DC 20019-1898
Phone (202) 388-8160
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP500004527 | DC | MD | Family Nurse Practitioner |
| AC002179 | MD | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Patient First Richmond Medical Group PLLC | Current | Accepting new patients | |
| Commonwealth Emergency Physicians PC | Current | Accepting new patients | |
| Inova Health Care Services | Current | Accepting new patients | |
| Unity Health Care, Inc. | Current | Accepting new patients | |
| Unity Health Care Inc. | Current | Accepting new patients | |
| Patient First Richmond Medical Group PLLC | Current | Accepting new patients | |
| Inova Health Care Services | Current | Accepting new patients | |
| Inova Health Care Services | Current | Accepting new patients |
Locations
765 Kenilworth Ter NE
Washington, DC 20019
Phone (202) 388-8160
1310 Southern Ave SE
Washington, DC 20032
Phone (202) 574-6000
2501 Parkers Ln
Alexandria, VA 22306
Phone (703) 664-7000
6311 Richmond Hwy
Alexandria, VA 22306
Phone (703) 647-6087
3263 Columbia Pike
Arlington, VA 22204
Phone (703) 746-0111
6201 Centreville Rd
Ste 200
Centreville, VA 20121
Phone (703) 830-5600
5000 Cox Rd
Glen Allen, VA 23060
Phone (804) 822-4355
601 Potomac Station Dr NE
Leesburg, VA 20176
Phone (703) 840-1396
224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894
2199 Old Bridge Rd
Woodbridge, VA 22192
Phone (703) 357-9707
Interoperability endpoints
- miranda.rozecki@uhci.eclinicaldirectplus.com
Organizations & group practices 8
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.
-
- Federally Qualified Health Center (FQHC)
- Washington, DC
- NPI 1093894172
-
- Internal Medicine Physician
- Falls Church, VA
- NPI 1952320061
-
- Family Medicine Physician
- Glen Allen, VA
- NPI 1689603748
DC
-
- Community/Retail Pharmacy
- Washington, DC
- NPI 1346014412
-
- Medical Technologist
- Sterling, VA
- NPI 1699655589
-
- Urgent Care Clinic/Center
- Fairfax, VA
- NPI 1588018881
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665964800000",
"number": "1477064129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "765 KENILWORTH AVE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200194351",
"telephone_number": "202-469-4699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "765 KENWILWORTH AVENUE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "20019",
"telephone_number": "202-469-4699"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROZECKI",
"first_name": "MIRANDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-21",
"last_updated": "2022-10-17",
"certification_date": "2022-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "AC002179",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024175524",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "DC",
"license": "NP500004527",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mrozecki515825@soc.inova.org",
"affiliation": "Y",
"endpointDescription": "Health Information Exchange",
"affiliationName": "Inova Health Care Services",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "3263 Columbia Pike",
"city": "Arlington",
"state": "VA",
"country_code": "US",
"postal_code": "222044351",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "MIRANDA",
"last_name": "WHEELER",
"credential": "NP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.