Individual provider Active NPI

Tracee Jean Rozum, CRNP

  • Gerontology Nurse Practitioner
  • Reading, PA
National Provider Identifier
1558971267
Registry record updated Jul 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
SP022144 Issued in PA
Practice address
2494 Bernville Rd Ste 207
Reading, PA 19605-9467
Phone
(610) 378-2676
Fax
(610) 378-2679
NPI assigned
Aug 6, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X SP022144 PA
Gerontology Nurse Practitioner 363LG0600X SP022144 PA Primary

Addresses

Primary practice location

2494 Bernville Rd Ste 207
Reading, PA 19605-9467

Mailing address

2494 Bernville Rd Ste 207
Reading, PA 19605-9467
Phone (610) 378-2676

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240604002177 VA Practitioner - Nurse Practitioner 9436560323 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sentara Medical GroupGroup PAC ID 8921903923, 1,396 clinicians

Practice addresses (Care Compare)

600 Gresham Dr
Norfolk, VA 23507-1904
Phone (757) 388-6005

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sentara Medical Group CurrentSince May 1, 2024 Accepting new patients
Bornemann Cardiothoracic Associates PastSince Aug 9, 2020 Accepting new patients
St. Joseph Medical Group PastSince Aug 9, 2020 Accepting new patients

Locations

301 Riverview Ave
Ste 400
Norfolk, VA 23510
Phone (757) 252-1700

600 Gresham Dr
#8600
Norfolk, VA 23507
Phone (757) 388-6005

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

Interoperability endpoints

  • Direct secure messaging: trozum904518@direct.sentara.net

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1596672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721433600000",
    "number": "1558971267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2494 BERNVILLE RD STE 207",
            "city": "READING",
            "state": "PA",
            "postal_code": "196059467",
            "telephone_number": "610-378-2676",
            "fax_number": "610-378-2679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2494 BERNVILLE RD STE 207",
            "city": "READING",
            "state": "PA",
            "postal_code": "196059467",
            "telephone_number": "610-378-2676",
            "fax_number": "610-378-2679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROZUM",
        "first_name": "TRACEE",
        "middle_name": "JEAN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-06",
        "last_updated": "2024-07-20",
        "certification_date": "2024-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "PA",
            "license": "SP022144",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "PA",
            "license": "SP022144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reading, PA

Sources for this page

Verify at the official NPI Registry.