BRENDA JEAN KOZAK (FNP-C) – Family Nurse Practitioner, NPI 1104378744

BRENDA JEAN KOZAK (FNP-C) is a healthcare provider. based in Madison heights, Virginia. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. 0024174182 (VA). The NPI Number for BRENDA JEAN KOZAK (FNP-C) is 1104378744

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
BRENDA JEAN KOZAK (FNP-C)
NPI
1104378744
Phone
(434) 929-1400
Address
134 Elon Rd
Enumeration Date
31 October 2016
Last Update Date
21 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4349291400
Graduation Year
2016 (10 years ago)
PAC ID
3971880774
Group Practice PAC ID
9537060413
Professional Enrollment ID
I20170504000578
Address ID
VA245725981MA200XXSQXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:9State licenses:1Digital endpointsOther names

8,307 NURSE PRACTITIONER in VA

Provider Addresses for BRENDA JEAN KOZAK (FNP-C)

  • 134 Elon Rd

    Madison Heights, VA 245722536

    Phone: (434) 929-1400

    Fax: (434) 455-2487

    Type: Location

  • 134 ELON RD

    MADISON HEIGHTS, VA 245722536

    Phone: (434) 929-1400

    Fax: (434) 455-2487

    Type: Location

  • 109 CLEARVIEW RD

    MADISON HEIGHTS, VA 245722600

    Phone: (434) 929-1400

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 81 Open Payments records for all available years, with a total value of $2,748.

Total Amount is formed as General ($2,748) + Research ($0) + Ownership ($0) = $2,748.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($748).

Total Amount

$2,748

General + Research + Ownership

Payments

81

Total payment records

General Amount

$2,748

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-03

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-05-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170504000578INurse PractitionerVATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
83036Hemoglobin a1c level4428$0
82947Blood glucose (sugar) level3524$0
81002Urinalysis, manual test1312$0
View full utilization report →

Insurance plans in this area (ZIP 24572)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9537060413View full group profile
NameSpecialtyState
-VA
Nurse PractitionerVA
O B S T E T R I C S/ G Y N E C O L O G YPA
O B S T E T R I C S/ G Y N E C O L O G YVA
-WV
Nurse PractitionerSC
-VA
Family PracticeVA
-VA
Nurse PractitionerMD

Reviews

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Frequently asked questions

What unique ID ties claims to BRENDA JEAN KOZAK (FNP-C)?
NPI 1104378744 is assigned to BRENDA JEAN KOZAK (FNP-C) under the national enumeration system.
Is BRENDA JEAN KOZAK (FNP-C)'s NPI currently valid?
The extract we use shows BRENDA JEAN KOZAK (FNP-C) as active.
What field does BRENDA JEAN KOZAK (FNP-C) work in?
You can think of BRENDA JEAN KOZAK (FNP-C) as practicing within Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is BRENDA JEAN KOZAK (FNP-C)'s primary listing?
We display Madison Heights, Virginia because that is what the record indicates for BRENDA JEAN KOZAK (FNP-C).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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