Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacob P Bode, AG-ACNP

Individual provider Pulmonary Disease Physician · NPI 1922848084

Jacob P Bode, AG-ACNP is a Nurse Practitioner in Culpeper, Virginia. Qualified in 2023, 3 years ago. Practices with Specialty Physicians of Northern Virginia LLC, a 9-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
3
Licensed in
VA
In the registry since
2024
Specialties on file
2

Practice location Address checks out

501 Sunset Ln
Culpeper, VA 22701-3917
Phone: (540) 829-4100
Fax: (540) 829-4392
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1215 Lee St, Charlottesville, VA 22908-0816 — (434) 924-3627

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 0024189256 (VA)
Pulmonary Disease Physician Taxonomy 207RP1001X · Licence 0024189256 (VA)

Record details

NPI number1922848084
Entity typeIndividual (Type 1)
GenderMale
Credentials AG-ACNP
Sole proprietorNo
NPI enumeratedMay 28, 2024
Last updated in NPPESAugust 14, 2024
Certification dateAugust 14, 2024
Mailing addressPo Box 749112, Atlanta, GA 30374-9112

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Specialty Physicians Of Northern Virginia Llc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Culpeper