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DAVID RANDELL PHELPS APRN
NPI 1215599881
Nurse Practitioner - Psychiatric/Mental Health in Gainesville, VA

Active since July 03, 2019PECOS EnrolledAccepts Medicare Assignment
81.28/100
CMS Quality Rating
7110 HERITAGE VILLAGE PLZ STE 101, GAINESVILLE, VA 20155(571) 556-8205(571) 534-3910 Get Directions Write a Review

NPPES record last updated: April 20, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 17, 2025, Jun 22, 2024, Nov 21, 2023 and 3 more (6 updates tracked since 2019).

About David Randell Phelps Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAVID RANDELL PHELPS APRN (NPI 1215599881) is an individual psychiatric/mental health provider in Gainesville, Virginia, licensed in Virginia (0024177830) and active in the NPI registry since July 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1215599881
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameDAVID RANDELL PHELPSCredential: APRN
Location Address7110 HERITAGE VILLAGE PLZ STE 101Gainesville, VA 20155-3076
Mailing Address7110 Heritage Village Plz Ste 101Gainesville, VA 20155-3076 · (571) 556-8205 · Fax (833) 428-8384
Phone(571) 556-8205
Fax(571) 534-3910
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 3, 2019
Last NPPES UpdateApril 20, 20256 updates tracked since enumeration
NPPES CertifiedApril 18, 2025
✔ NPI 1215599881 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in VA · 0024177830
Also ListedNurse PractitionerTaxonomy 363L00000X · License 0024177830 (VA)
7110 HERITAGE VILLAGE PLZ STE 101, Gainesville, VA 20155
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

David Randell Phelps Aprn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6507198405
PECOS Enrollment IDI20191112000437
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show David Phelps reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Conquest Health
Same address
Psychiatric/Mental Health
7110 HERITAGE VILLAGE PLZ STE 101
Gainesville, VA 20155
  • Reassigned Medicare billing, Virginia enrollment
  • 4 clinicians in this Medicare group
NPI 1235902438 (571) 556-8205
Inova Health Care Services
19 mi
Urgent Care
100 MAPLE AVE E
Vienna, VA 22180
  • Reassigned Medicare billing, Virginia and District of Columbia enrollments
  • Also billed through NPI 1952320061 (District of Columbia)
  • 2,379 clinicians in this Medicare group
NPI 1275886418 (703) 938-5300

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20155 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.77
Promoting Interoperability100
Improvement Activities40
Cost66.84

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CONQUEST HEALTH
Nurse Practitioner (Psychiatric/Mental Health)
7110 HERITAGE VILLAGE PLZ STE 101
GAINESVILLE, VA 20155
Prince William County (571) 556-8205
SYDNEY GEHRING
Nurse Practitioner (Psychiatric/Mental Health)
7110 HERITAGE VILLAGE PLZ STE 101
GAINESVILLE, VA 20155
Prince William County (267) 897-8464

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Phelps's NPI number?

The NPI number for David Phelps is 1215599881. It was assigned to this individual provider in the NPPES registry on July 3, 2019.

Where is David Phelps located?

David Phelps practices at 7110 Heritage Village Plz Ste 101, Gainesville, VA 20155. The listed phone number is (571) 556-8205.

What is David Phelps's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is David Phelps enrolled in Medicare?

Yes. David Phelps is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for David Phelps's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Phelps reassigns Medicare benefits to 2 organizations: Conquest Health (Gainesville, VA) and Inova Health Care Services (Vienna, VA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for David Phelps's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does David Phelps accept?

Health plans from Oscar Health list David Phelps as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for David Phelps was last updated on April 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.