Individual provider Active NPI

Jaclyn Felicia Tozaki, FNP-C

  • Family Nurse Practitioner
  • Chevy Chase, MD
National Provider Identifier
1568035988
Registry record updated Feb 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R188320 Issued in MD
Practice address
5530 Wisconsin Ave Ste 1200
Chevy Chase, MD 20815-4301
Phone
(855) 729-2272
Fax
(202) 833-1725
NPI assigned
Jul 22, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R188320 MD Primary
Women's Health Nurse Practitioner 363LW0102X R188320 MD

Addresses

Primary practice location

5530 Wisconsin Ave Ste 1200
Chevy Chase, MD 20815-4301

Mailing address

5530 Wisconsin Ave Ste 1200
Chevy Chase, MD 20815-4301
Phone (855) 729-2272

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, 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
I20211109001425 MD Practitioner - Nurse Practitioner 3173912359 Reassigns benefits to 2 organizations
I20211112002042 DC Practitioner - Nurse Practitioner 3173912359 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MNR Industries, LLCGroup PAC ID 7416908843, 142 clinicians
Innovative Urgent Care, LLCGroup PAC ID 0749728681, 13 clinicians
Privia Care Center LLCGroup PAC ID 3274801139, 286 clinicians

Practice addresses (Care Compare)

1505 E Churchville Rd
Bel Air, MD 21014-4742

22750 Newcut Rd
Suite D1B
Clarksburg, MD 20871-5333
Phone (301) 482-1000

301 Saint Paul St
Suite 409
Baltimore, MD 21202-2102
Phone (410) 659-7041

9055 Chevrolet Dr
Suite 100
Ellicott City, MD 21042-4091
Phone (410) 465-5454

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R188320MDMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MNR Industries LLC CurrentSince Sep 1, 2023 Accepting new patients
MNR Industries LLC Current Accepting new patients
MNR Industries, LLC Current Accepting new patients
Mep Observation Services LLC CurrentSince May 16, 2023 Accepting new patients
Privia Care Center LLC CurrentSince Jun 13, 2022 Accepting new patients
MNR Industries, LLC CurrentSince Sep 1, 2023 Accepting new patients
Mep Observation Services LLC CurrentSince May 16, 2023 Accepting new patients
Menocal Medical Services PA Current Accepting new patients
Privia Care Center LLC CurrentSince Jun 13, 2022 Accepting new patients
MNR Industries, LLC Current Accepting new patients
Privia Medical Group, LLC Past Accepting new patients
Privia Medical Group, LLC Past Accepting new patients
Medical Associates of Central Virginia, Inc. Past Accepting new patients

Locations

301 Saint Paul St
Ste 409
Baltimore, MD 21202
Phone (410) 659-7041

1505 E Churchville Rd
#A
Bel Air, MD 21014
Phone (410) 420-6970

1505 E Churchville Rd
Bel Air, MD 21014
Phone (410) 420-6970

6000 Laurel Bowie Rd
Bowie, MD 20715
Phone (301) 383-0330

9055 Chevrolet Dr
Ste 100
Ellicott City, MD 21042
Phone (410) 313-9662

110 Baughmans Ln
Ste 140
Frederick, MD 21702
Phone (240) 215-1138

504 E Ridgeville Blvd
#A
Mount Airy, MD 21771
Phone (301) 703-5452

9901 Medical Center Dr
Rockville, MD 20850
Phone (301) 279-6000

Interoperability endpoints

  • Direct secure messaging: jaclyn.tozaki.1@8042.direct.athenahealth.com

Organizations & group practices 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1626912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644364800000",
    "number": "1568035988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5530 WISCONSIN AVE STE 1200",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208154301",
            "telephone_number": "855-729-2272",
            "fax_number": "202-833-1725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5530 WISCONSIN AVE STE 1200",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208154301",
            "telephone_number": "855-729-2272",
            "fax_number": "202-833-1725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOZAKI",
        "first_name": "JACLYN",
        "middle_name": "FELICIA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-22",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R188320",
            "primary": true
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MD",
            "license": "R188320",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chevy Chase, MD

Sources for this page

Verify at the official NPI Registry.