Mary Jean Bozzelli, CFNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024065287 Issued in VA

Practice address

2200 Opitz Blvd.
Ste 250
Woodbridge, VA 22191

Phone

(703) 494-5858

Fax

(703) 491-1416

NPI assigned

Nov 7, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386115200000",
    "number": "1871662338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 OPITZ BLVD.",
            "address_2": "STE. 250",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "22191",
            "telephone_number": "703-494-5858",
            "fax_number": "703-491-1416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 OPITZ BLVD.",
            "address_2": "STE 250",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "22191",
            "telephone_number": "703-494-5858",
            "fax_number": "703-491-1416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOZZELLI",
        "first_name": "MARY",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2013-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024065287",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "0017000561",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sam Bowmer, M.S.W. , L.C.S.W.
• Michelle Lynn Boyd
• Carolyn R Boyer, OTR/L
• Patrice M Boykin, MSPT
• Susan Elizabeth Boylan, MD
• Rebekah Bradcovich
• Misty Melissa Brady-Lee, MS
• Julie Erin Branch, LCSW-S
• Lindsey Jane Brand, OTD, OTR/L
• Anna Brandle

• Family Nurse Practitioner in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.