BRENDA JEAN KOZAK FNP-C
NPI 1104378744
Nurse Practitioner - Family in Madison Heights, VA

Q: What is Brenda Kozak's NPI number?

The NPI number for Brenda Kozak is 1104378744. It was assigned to this individual provider in the NPPES registry on October 31, 2016.

Q: What is Brenda Kozak's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Brenda Kozak was last updated on May 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 31, 2016PECOS EnrolledAccepts Medicare Assignment

109 CLEARVIEW RD, MADISON HEIGHTS, VA 24572(434) 929-1400 Get Directions Write a Review

NPPES record last updated: May 21, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 21, 2025, May 13, 2024, Feb 23, 2017 and 1 more (4 updates tracked since 2016).

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About Brenda Jean Kozak Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRENDA JEAN KOZAK FNP-C (NPI 1104378744) is an individual family provider in Madison Heights, Virginia, licensed in Virginia (0024174182) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS, is affiliated with Centra Health - Lynchburg Gen Hospital, and maintains a secondary practice location in Madison Heights.

NPPES Registry Identity

NPI1104378744

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameBRENDA JEAN KOZAKCredential: FNP-C

Location Address109 CLEARVIEW RDMadison Heights, VA 24572-2600

Mailing Address134 Elon RdMadison Heights, VA 24572-2536 · (434) 929-1400 · Fax (434) 455-2487

Phone(434) 929-1400

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateOctober 31, 2016

Last NPPES UpdateMay 21, 20254 updates tracked since enumeration

NPPES CertifiedMay 21, 2025

✔ NPI 1104378744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in VA · 0024174182

109 CLEARVIEW RD, Madison Heights, VA 24572

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Secondary Practice Location 1

Location 1134 Elon RdMadison Heights, VA 24572-2536 · Phone (434) 929-1400 · Fax (434) 455-2487

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Brenda Jean Kozak Fnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3971880774

PECOS Enrollment IDI20170504000578

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

42 services33 patients

Blood glucose (sugar) level 82947

A blood glucose level test measures the amount of sugar in your blood. It's often used to monitor and manage conditions like diabetes. High or low levels can indicate a health issue. The test is usually done by pricking your finger for a small blood sample.

19 services17 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Centra Health - Lynchburg Gen Hospital

Acute Care Hospitals · Lynchburg, VA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490021

Location1901 Tate Springs RoadLynchburg, VA 24501 · Lynchburg City County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24572 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier12 claims12 services$6.15 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

4 suppliers13 claims2,798 services$0.02 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

4 suppliers12 claims12 services$17.31 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GENEVIEVE RENEE BRAY RESIDENT IN COUNSELI

Student in an Organized Health Care Education/Training Program