Individual provider Active NPI

Madison Rea Kozeniesky, PA-C

  • Physician Assistant
  • Midlothian, VA
National Provider Identifier
1669208013
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
13332 Midlothian Tpke
Midlothian, VA 23113-4210
Phone
(804) 794-5598
Fax
(804) 378-1954
NPI assigned
Sep 11, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X VA Primary

Addresses

Primary practice location

13332 Midlothian Tpke
Midlothian, VA 23113-4210

Mailing address

13332 Midlothian Tpke
Midlothian, VA 23113-4210
Phone (804) 794-5598

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250108000285 VA Practitioner - Physician Assistant 7416485248 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virginia Physicians IncGroup PAC ID 5597650804, 93 clinicians

Practice addresses (Care Compare)

13332 Midlothian Tpke
Midlothian, VA 23113-4210
Phone (804) 794-5598

15769 WC Main St
Midlothian, VA 23113-7327
Phone (804) 419-9760

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Physicians Inc CurrentSince Dec 1, 2024 Accepting new patients
Virginia Physicians, Inc Past Accepting new patients
Virginia Physicians, Inc. Past Accepting new patients

Locations

15769 Wc Main St
Midlothian, VA 23113
Phone (804) 419-9760

13332 Midlothian Tpke
Midlothian, VA 23113
Phone (804) 794-5598

3000 Watercove Rd
Midlothian, VA 23112
Phone (804) 744-0200

3510 Anderson Hwy
Ste A
Powhatan, VA 23139
Phone (804) 598-3100

Interoperability endpoints

  • Direct secure messaging: madison.kozeniesky@vpi.eclinicaldirectplus.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1726012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1669208013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13332 MIDLOTHIAN TPKE",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231134210",
            "telephone_number": "804-794-5598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13332 MIDLOTHIAN TPKE",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231134210",
            "telephone_number": "804-794-5598",
            "fax_number": "804-378-1954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOZENIESKY",
        "first_name": "MADISON",
        "middle_name": "REA",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-11",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

Verify at the official NPI Registry.