Brenda Jean Kozak, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Madison Heights, VA
NPI 1104378744 · NPPES record last updated May 21, 2025
Key facts
- NPI
- 1104378744
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 0024174182 (VA)
- Practice address
- 109 Clearview Rd
Madison Heights, VA 24572-2600 - Phone
- (434) 929-1400
- NPI assigned
- Oct 31, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 9
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Johnson Health Center
Practice addresses (Care Compare)
109 Clearview Rd
Madison Heights, VA 24572-2600
Phone (434) 455-2480
200 Amelon SQ
Madison Heights, VA 24572-5981
Phone (434) 929-1400
Hospital & facility affiliations
- Enhabit Home Health (Lynchburg)
- Centra Home Health
- Centra Health - Lynchburg Gen Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170504000578 | VA | Practitioner - Nurse Practitioner | 3971880774 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024174182 | VA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Johnson Health Center | Current |
Accepting new patients | |
| Johnson Health Center | Current | Accepting new patients | |
| Johnson Health Center | Past | Accepting new patients |
Locations
320 Federal St
Lynchburg, VA 24504
Phone (434) 947-5967
109 Clearview Rd
Madison Heights, VA 24572
Phone (434) 929-1400
134 Elon Rd
Madison Hts, VA 24572
Phone (434) 929-1400
925 Village Hwy
Rustburg, VA 24588
Phone (434) 332-7367
Interoperability endpoints
- brenda.kozak@jhc.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024174182 | VA | Yes |
Addresses
Primary practice location
109 Clearview Rd
Madison Heights, VA 24572-2600
Mailing address
134 Elon Rd
Madison Heights, VA 24572-2536
Phone (434) 929-1400
Other practice location 1
134 Elon Rd
Madison Heights, VA 24572-2536
Phone (434) 929-1400
Other providers in Madison Heights, VA
- Johnson Health Center
- Johnson Health Center
- J'NA Johnson
- Sandra Jones
- Kairos Counseling
- Duane Kresge
- L5 Medical Holdings LLC
- Janna Laverdiere
- Rebecca Ledingham
- Jacqueline Paige Lee
All providers in Madison Heights, VA · Family Nurse Practitioner in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 21, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.