Jennifer Lee Broyles, MSN, AG-ACNP - Medicare Nurse Practitioner in Charlottesville, VA

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Jennifer Lee Broyles, MSN, AG-ACNP is a medicare enrolled "Nurse Practitioner - Gerontology" in Charlottesville, Virginia. Her current practice location is 500 Martha Jefferson Dr, Charlottesville, Virginia. You can reach out to her office (for appointments etc.) via phone at (434) 654-7580.

Jennifer Lee Broyles is licensed to practice in Virginia (license number 0024171788) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1467868919.

Contact Information

Jennifer Lee Broyles, MSN, AG-ACNP
500 Martha Jefferson Dr,
Charlottesville, VA 22911
(434) 654-7580
(434) 654-7582

Map and Direction




Provider's Profile

Full NameJennifer Lee Broyles
GenderFemale
SpecialityNurse Practitioner - Gerontology
Location500 Martha Jefferson Dr, Charlottesville, Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1467868919
  • Provider Enumeration Date: 07/05/2014
  • Last Update Date: 02/16/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 9234358342
  • Enrollment ID: I20160309001650

Medical Identifiers

Medical identifiers for Jennifer Lee Broyles such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1467868919NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LG0600XNurse Practitioner - Gerontology 0024171788 (Virginia)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jennifer Lee Broyles allows following entities to bill medicare on her behalf.
Entity NameMartha Jefferson Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275720559
PECOS PAC ID: 5991889081
Enrollment ID: O20080228000055
Entity NameUva Community Health Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598475741
PECOS PAC ID: 4688587967
Enrollment ID: O20110311000151
Entity NameRmh Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669844908
PECOS PAC ID: 7618270729
Enrollment ID: O20160125000666

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jennifer Lee Broyles is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jennifer Lee Broyles, MSN, AG-ACNP
500 Martha Jefferson Dr Fl 5,
Charlottesville, VA 22911-4668

Ph: () -		Jennifer Lee Broyles, MSN, AG-ACNP
500 Martha Jefferson Dr,
Charlottesville, VA 22911

Ph: (434) 654-7580

Reviews and Comments


Nurse Practitioner Nurses in Charlottesville, VA

Norma Branham, R.N., N.P.
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Medicare: Not Enrolled in Medicare
Practice Location: 1215 Lee St, Charlottesville, VA 22908
Phone: 434-924-2047    
Joy R Miller, PNP
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Medicare: Accepting Medicare Assignments
Practice Location: 1215 Lee St, Charlottesville, VA 22908
Phone: 434-243-2617    
Rebecca L Hand, ACNP
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Practice Location: 1215 Lee St, Charlottesville, VA 22908
Phone: 434-982-1100    
Megan E. Kingdon, NP
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Medicare: Not Enrolled in Medicare
Practice Location: 1215 Lee St, Charlottesville, VA 22908
Phone: 434-924-9400    Fax: 434-982-1618
Mrs. Stephanie Richardson Wilhelm, CRNP
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Medicare: Accepting Medicare Assignments
Practice Location: 500 Martha Jefferson Dr, Charlottesville, VA 22911
Phone: 434-654-7150    
Kimberly Conrad,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1240 Lee St, Charlottesville, VA 22908
Phone: 434-924-9333    Fax: 434-244-7526
Shawn Pennetti, FNP
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Medicare: Medicare Enrolled
Practice Location: 3025 Berkmar Dr, Charlottesville, VA 22901
Phone: 434-973-1831    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.