Individual provider Active NPI

Miranda Rozecki

  • Family Nurse Practitioner
  • Washington, DC
National Provider Identifier
1477064129
Registry record updated Oct 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP500004527 Issued in DC
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

Updated by the provider on Oct 17, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
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, DC2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20180619003306 VA Practitioner - Nurse Practitioner 0446505242 Reassigns benefits to 2 organizations
I20180912000883 DC Practitioner - Nurse Practitioner 0446505242 Reassigns benefits to 4 organizations

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
Unity Health Care Inc.Group PAC ID 3476647264, 151 clinicians

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

LicenseStateTypeSpecialty
NP500004527DCMDFamily Nurse Practitioner
AC002179MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Patient First Richmond Medical Group PLLC CurrentSince Oct 26, 2021 Accepting new patients
Commonwealth Emergency Physicians PC CurrentSince Feb 1, 2021 Accepting new patients
Inova Health Care Services CurrentSince May 1, 2018 Accepting new patients
Unity Health Care, Inc. CurrentSince Sep 30, 2022 Accepting new patients
Unity Health Care Inc. CurrentSince Sep 30, 2022 Accepting new patients
Patient First Richmond Medical Group PLLC CurrentSince Oct 26, 2021 Accepting new patients
Inova Health Care Services CurrentSince Jun 17, 2018 Accepting new patients
Inova Health Care Services CurrentSince May 1, 2018 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.