Amy Brozick Jacobson, CPNP-BC
NPI 1558765636ActiveIndividual· Nurse Practitioner, Pediatrics· Reston, VA
Nurse Practitioner, Pediatrics (CPNP-BC) with Pediatric Specialists of Virginia LLC, practicing in Reston, Virginia. Enrolled in Medicare as practitioner - nurse practitioner and practitioner - nurse practitioner.
Overview
| NPI | 1558765636 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CPNP-BC |
| Sole proprietor | No |
| NPI issued | Oct 17, 2014 |
| Last updated in NPPES | Oct 16, 2024 |
| Certified by provider | Jun 11, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Pediatrics Primary | 363LP0200X | 0024171122 | VA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (DC); Practitioner - Nurse Practitioner (VA) |
|---|
Education and affiliations
| Graduation year | 2013 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Pediatric Specialists of Virginia LLCFairfax, VA · 11 clinicians
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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