Individual provider Active NPI

Jennifer Taylor Rozak, FNP-BC

  • Family Nurse Practitioner
  • Murrells Inlet, SC
National Provider Identifier
1760959100
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
22233 Issued in SC
Practice address
4057 Highway 17
Murrells Inlet, SC 29576-5032
Phone
(843) 652-4800
Fax
(843) 357-4783
NPI assigned
Oct 24, 2018
Last updated
Jun 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2023

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 22233 SC Primary

Addresses

Primary practice location

4057 Highway 17
Murrells Inlet, SC 29576-5032

Mailing address

PO Box 280
Murrells Inlet, SC 29576-0280
Phone (843) 652-4800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20190625001310 SC Practitioner - Nurse Practitioner 5698009652 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Medical University of South Carolina College of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inlet Pulmonary Critical Care and Sleep Medicine, PAGroup PAC ID 7517258056, 6 clinicians

Practice addresses (Care Compare)

4057 Hwy 17
Murrells Inlet, SC 29576-5032
Phone 84365248001230

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.69 of 100Reported as group
Quality
70.25
Improvement activities
40
Cost
78.63

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Inlet Cardiopulmonary & Associates, PA CurrentSince Apr 28, 2019 Accepting new patients
Inlet Pulmonary Critical Care and Sleep Medicine, PA CurrentSince Apr 28, 2019 Accepting new patients

Locations

4057 Highway 17
Murrells Inlt, SC 29576
Phone (843) 652-4800

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BBFHAD

Organizations & group practices 2

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.

Hospital & facility affiliations 4

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": "1540339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1760959100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 280",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295760280",
            "telephone_number": "843-652-4800",
            "fax_number": "843-357-4783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4057 HIGHWAY 17",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295765032",
            "telephone_number": "843-652-4800",
            "fax_number": "843-357-4783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROZAK",
        "first_name": "JENNIFER",
        "middle_name": "TAYLOR",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-24",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "22233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrells Inlet, SC

Sources for this page

Verify at the official NPI Registry.