ALEXANDRIA RUDOLPH AGACNP
NPI 1295221125
Nurse Practitioner - Acute Care in Sherman Oaks, CA

Q: What is Alexandria Rudolph's NPI number?

The NPI number for Alexandria Rudolph is 1295221125. It was assigned to this individual provider in the NPPES registry on July 3, 2018.

Q: What is Alexandria Rudolph's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Active since July 03, 2018PECOS Enrolled

92.02/100

CMS Quality Rating

4955 VAN NUYS BLVD STE 308, SHERMAN OAKS, CA 91403(213) 279-1220(835) 230-6122 Get Directions Write a Review

NPPES record last updated: May 17, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 17, 2026, Jul 3, 2018 (2 updates tracked since 2018).

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About Alexandria Rudolph Agacnp NPPES

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

ALEXANDRIA RUDOLPH AGACNP (NPI 1295221125) is an individual acute care provider in Sherman Oaks, California, licensed in California (95009356) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1295221125

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameALEXANDRIA RUDOLPHCredential: AGACNP

Location Address4955 VAN NUYS BLVD STE 308Sherman Oaks, CA 91403-1811

Mailing Address8585 Burton Way Apt 112Los Angeles, CA 90048-3364 · (310) 691-0816

Phone(213) 279-1220

Fax(835) 230-6122

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateJuly 3, 2018

Last NPPES UpdateMay 17, 20262 updates tracked since enumeration

NPPES CertifiedMay 17, 2026

✔ NPI 1295221125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in CA · 95009356

4955 VAN NUYS BLVD STE 308, Sherman Oaks, CA 91403

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alexandria Rudolph Agacnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9133470933

PECOS Enrollment IDI20180918001705

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 Alexandria Rudolph reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Epic Medical Group,inc

Same address

Critical Care Medicine

4940 VAN NUYS BLVD, STE 200
Sherman Oaks, CA 91403

Reassigned Medicare billing, California enrollment
76 clinicians in this Medicare group

NPI 1295178689 (818) 528-1260

Pulmonary Consultants And Wellness Center Inc PC

16 mi

Internal Medicine

555 E HARDY ST, IRA KAUFMAN PAVILLON
Inglewood, CA 90301

Reassigned Medicare billing, California enrollment
39 clinicians in this Medicare group

NPI 1427440304 (310) 680-8095

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

159 services67 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

92 services91 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

35 services35 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

29 services29 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

18 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91403 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

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.

92.02/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

85.48

Improvement Activities

Cost

66.71

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

3 suppliers16 claims17 services$12.27 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

3 suppliers17 claims18 services$55.32 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 16

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

DR. EDMOND DERDERIAN M.D.

Internal Medicine