DAVID RICHARD RUDOLPH FNP
NPI 1255854543
Nurse Practitioner - Family in Tucson, AZ

Q: What is David Rudolph's NPI number?

The NPI number for David Rudolph is 1255854543. It was assigned to this individual provider in the NPPES registry on July 19, 2017.

Q: What is David Rudolph's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for David Rudolph was last updated on April 9, 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.

Active since July 19, 2017PECOS EnrolledAccepts Medicare Assignment

320 W PRINCE RD, TUCSON, AZ 85705(520) 670-3909(520) 309-2560 Get Directions Write a Review

NPPES record last updated: April 9, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 9, 2025, Jul 19, 2017 (2 updates tracked since 2017).

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About David Richard Rudolph Fnp NPPES

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

DAVID RICHARD RUDOLPH FNP (NPI 1255854543) is an individual family provider in Tucson, Arizona, licensed in Arizona (AP10369) and active in the NPI registry since July 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1255854543

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameDAVID RICHARD RUDOLPHCredential: FNP

Location Address320 W PRINCE RDTucson, AZ 85705-3526

Mailing Address839 W Congress StTucson, AZ 85745-2819 · (520) 670-3909 · Fax (520) 309-2560

Phone(520) 670-3909

Fax(520) 309-2560

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateJuly 19, 2017

Last NPPES UpdateApril 9, 20252 updates tracked since enumeration

NPPES CertifiedMarch 5, 2025

✔ NPI 1255854543 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in AZ · AP10369

320 W PRINCE RD, Tucson, AZ 85705

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Antidote Health Plan of Arizona, Inc. and more.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 Richard Rudolph Fnp 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 ID6608149075

PECOS Enrollment IDI20170906002956

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

Medicare enrollment records show David Rudolph reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Southern Arizona Urgent Care, LLC

1.7 mi

Urgent Care

90 W RIVER RD
Tucson, AZ 85704

Reassigned Medicare billing, Arizona enrollment
99 clinicians in this Medicare group

NPI 1386003788 (520) 544-2273

El Rio Santa Cruz Neighborhood Health Center, Inc

2.9 mi

Federally Qualified Health Center (FQHC)

434 E UNIVERSITY BLVD STE 200
Tucson, AZ 85705

Reassigned Medicare billing, Arizona enrollment
464 clinicians in this Medicare group

NPI 1598457525 (520) 670-3909

Arizona Community Physicians PC

6.4 mi

Internal Medicine

5055 E BROADWAY BLVD, SUITE A100
Tucson, AZ 85711

Reassigned Medicare billing, Arizona enrollment
264 clinicians in this Medicare group

NPI 1205871076 (520) 327-0460

Az Rehab Consultants, LLC

81 mi

Physical Medicine & Rehabilitation

6049 S COBBLESTONE ST
Gilbert, AZ 85298

Reassigned Medicare billing, Arizona enrollment
21 clinicians in this Medicare group

NPI 1396383402 (805) 300-1464

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

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

53 services33 patients

Blood test, comprehensive group of blood chemicals 80053

A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.

41 services33 patients

Blood test, lipids (cholesterol and triglycerides) 80061

A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.

26 services24 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

24 services19 patients

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025

A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.

18 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85705 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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 20

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

DR. JAMES DAVID MIKOLAJCZAK D.O.

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