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MRS. AMY BROZICK JACOBSON CPNP-BC
NPI 1558765636
Nurse Practitioner - Pediatrics in Reston, VA

Active since October 17, 2014PECOS Enrolled
1830 TOWN CENTER DRIVE, SUITE 205, RESTON, VA 20190(703) 435-3636(703) 435-9145 Get Directions Write a Review

NPPES record last updated: October 16, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 8, 2024, Oct 3, 2024, Jun 11, 2020 (3 updates tracked since 2020).

About Mrs. Amy Brozick Jacobson Cpnp-bc NPPES

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

MRS. AMY BROZICK JACOBSON CPNP-BC (NPI 1558765636) is an individual pediatrics provider in Reston, Virginia, licensed in Virginia (0024171122) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558765636
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMRS. AMY BROZICK JACOBSONCredential: CPNP-BC
Location Address1830 TOWN CENTER DRIVE, SUITE 205Reston, VA 20190
Mailing Address1100 Clarke StreetHerndon, VA 20170 · (412) 215-6709 · Fax (703) 331-0959
Phone(703) 435-3636
Fax(703) 435-9145
Sole ProprietorNo
Enumeration DateOctober 17, 2014
Last NPPES UpdateOctober 16, 20243 updates tracked since enumeration
NPPES CertifiedJune 11, 2020
✔ NPI 1558765636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in VA · 0024171122
1830 TOWN CENTER DRIVE, Reston, VA 20190
Open in Google Maps ↗

Other Names 1

Former Name (1)Miss Amy Joan Brozick

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Amy Brozick Jacobson Cpnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20190 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

Other Providers at the Same Location NPPES 3

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

DR. ANGELIKA RAMPAL M.D.
Pediatrics
1830 TOWN CENTER DRIVE, SUITE 205
RESTON, VA 20190
Fairfax County (703) 435-3636
JANE QUINAN THOMPSON NP
Nurse Practitioner
1830 TOWN CENTER DRIVE, SUITE 205
RESTON, VA 20190
Fairfax County (703) 723-7337
PET OF RESTON, LP
Radiology (Diagnostic Radiology)
1830 TOWN CENTER DRIVE, SUITE 105
RESTON, VA 20190
Fairfax County (571) 601-2901

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amy Jacobson's NPI number?

The NPI number for Amy Jacobson is 1558765636. It was assigned to this individual provider in the NPPES registry on October 17, 2014. The provider is also known as Miss Amy Joan Brozick.

Where is Amy Jacobson located?

Amy Jacobson practices at 1830 Town Center Drive Suite 205, Reston, VA 20190. The listed phone number is (703) 435-3636.

What is Amy Jacobson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Amy Jacobson enrolled in Medicare?

Yes. Amy Jacobson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Amy Jacobson was last updated on October 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.