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Jennifer Lee Broyles, MSN, AG-ACNP

NPI 1467868919ActiveIndividual· Nurse Practitioner, Gerontology· Charlottesville, VA

Nurse Practitioner, Gerontology (MSN, AG-ACNP) in Charlottesville, Virginia, licensed in VA, with an NPI issued in July 2014. Medicare paid $1,727 for services to 22 patients in 2024.

Overview

NPI1467868919
StatusActive
Entity typeIndividual
CredentialMSN, AG-ACNP
Sole proprietorNo
NPI issuedJul 5, 2014
Last updated in NPPESFeb 16, 2024
Certified by providerFeb 16, 2024

Specialties and licenses

TaxonomyCodeLicenseState
Nurse Practitioner, Gerontology Primary363LG0600X0024171788VA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Nurse Practitioner (VA)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients22
Services billed22 across 7 procedure codes
Paid by Medicare$1,727

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

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