AMY MICHELLE RANDOLPH DNP, FNP-C
NPI 1235818295
Nurse Practitioner - Family in Farmville, VA

Active since July 17, 2023PECOS EnrolledAccepts Medicare Assignment
833 BUFFALO ST, FARMVILLE, VA 23901(434) 392-8177 Get Directions Write a Review

NPPES record last updated: October 10, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 10, 2024, Jul 17, 2023 (2 updates tracked since 2023).

About Amy Michelle Randolph Dnp, Fnp-c NPPES

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

AMY MICHELLE RANDOLPH DNP, FNP-C (NPI 1235818295) is an individual family provider in Farmville, Virginia, licensed in Virginia (0024191482) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS, is affiliated with Centra Southside Community Hospital, Inc, and maintains a secondary practice location in Rice.

NPPES Registry Identity

NPI1235818295
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameAMY MICHELLE RANDOLPHCredential: DNP, FNP-C
Location Address833 BUFFALO STFarmville, VA 23901-1111
Mailing Address104 Randolph DrRice, VA 23966-2317 · (434) 547-0366
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 17, 2023
Last NPPES UpdateOctober 10, 20242 updates tracked since enumeration
NPPES CertifiedOctober 10, 2024
NPI 1235818295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in VA · 0024191482
Also ListedRegistered NurseTaxonomy 163W00000X · License 0001269946 (VA)
833 BUFFALO ST, Farmville, VA 23901

Secondary Practice Location 1

Location 1104 Randolph DrRice, VA 23966-2317 · Phone (434) 547-0366

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Amy Michelle Randolph Dnp, Fnp-c 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 ID8224324348
PECOS Enrollment IDI20250114002522
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Centra Southside Community Hospital, Inc

Acute Care Hospitals · Farmville, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490090
Location800 Oak StreetFarmville, VA 23901 · Prince Edward County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23901 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.

Other Providers at the Same Location NPPES 7

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

Obstetrics & Gynecology (Obstetrics)
833 BUFFALO ST, SUITE 200
FARMVILLE, VA 23901
Advanced Practice Midwife
833 BUFFALO ST
FARMVILLE, VA 23901
Nurse Practitioner (Pediatrics)
833 BUFFALO ST, SUITE 200
FARMVILLE, VA 23901
Family Medicine
833 BUFFALO ST, SUITE 200
FARMVILLE, VA 23901
Nurse Practitioner (Family)
833 BUFFALO ST
FARMVILLE, VA 23901
Registered Nurse
833 BUFFALO ST
FARMVILLE, VA 23901
Nurse Practitioner (Family)
833 BUFFALO ST
FARMVILLE, VA 23901

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 Amy Randolph's NPI number?

The NPI number for Amy Randolph is 1235818295. It was assigned to this individual provider in the NPPES registry on July 17, 2023.

Where is Amy Randolph located?

Amy Randolph practices at 833 Buffalo St, Farmville, VA 23901. The listed phone number is (434) 392-8177.

What is Amy Randolph's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Amy Randolph enrolled in Medicare?

Yes. Amy Randolph 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.

Is Amy Randolph affiliated with any hospitals?

According to CMS data, Amy Randolph is affiliated with Centra Southside Community Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Amy Randolph was last updated on October 10, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.