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MR. RANDALL DEVIN GREEN JR. FNP-C, RN, AE-C, CPN
NPI 1295540821
Nurse Practitioner - Family in Roanoke, VA

Active since February 11, 2025PECOS EnrolledAccepts Medicare Assignment
2001 COLONIAL AVE SW, ROANOKE, VA 24015(866) 389-2727 Get Directions Write a Review

NPPES record last updated: January 26, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 26, 2026, Dec 16, 2025, Aug 7, 2025 and 1 more (4 updates tracked since 2025).

About Mr. Randall Devin Green Jr. Fnp-c, Rn, Ae-c, Cpn NPPES

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

MR. RANDALL DEVIN GREEN JR. FNP-C, RN, AE-C, CPN (NPI 1295540821) is an individual family provider in Roanoke, Virginia, licensed in Virginia (0024194196) and active in the NPI registry since February 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1295540821
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. RANDALL DEVIN GREEN JR.Credential: FNP-C, RN, AE-C, CPN
Location Address2001 COLONIAL AVE SWRoanoke, VA 24015-3210
Mailing Address2001 Colonial Ave SwRoanoke, VA 24015-3210 · (866) 389-2727
Phone(866) 389-2727
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateFebruary 11, 2025
Last NPPES UpdateJanuary 26, 20264 updates tracked since enumeration
NPPES CertifiedJanuary 26, 2026
✔ NPI 1295540821 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 VA · 0024194196
2001 COLONIAL AVE SW, Roanoke, VA 24015
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

Mr. Randall Devin Green Jr. Fnp-c, Rn, Ae-c, Cpn 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 ID1052897469
PECOS Enrollment IDI20260115000393
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 Randall Green reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Minuteclinic Diagnostic Of Virginia LLC
184 mi
Family
19305 RUBY DR
Leesburg, VA 20176
  • Reassigned Medicare billing, Virginia enrollment
  • 276 clinicians in this Medicare group
NPI 1417076829 (866) 389-2727
Minuteclinic Primary Care - Virginia PLLC
184 mi
Family
19305 RUBY DR
Leesburg, VA 20176
  • Reassigned Medicare billing, Virginia enrollment
  • 115 clinicians in this Medicare group
NPI 1275341620 (866) 389-2727

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 24015 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 16

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

WILLIAM SCOTT FAUBER
Pharmacist
2001 COLONIAL AVE SW
ROANOKE, VA 24015
Roanoke City (540) 342-1877
MICHAEL BOWYER
Pharmacist
2001 COLONIAL AVE SW
ROANOKE, VA 24015
Roanoke City (540) 342-1877
DR. THOMAS ALLEN III PHARMD
Pharmacist
2001 COLONIAL AVE SW
ROANOKE, VA 24015
Roanoke City (540) 342-1877
ANNE MARIE HOWARD
Pharmacist
2001 COLONIAL AVE SW
ROANOKE, VA 24015
Roanoke City (540) 309-3099
STEPHANIE A GREATHOUSE FAMILY NP
Nurse Practitioner (Family)
2001 COLONIAL AVE SW
ROANOKE, VA 24015
Roanoke City (540) 342-1877
VIRGINIA CVS PHARMACY LLC
Pharmacy
2001 COLONIAL AVE SW
ROANOKE, VA 24015
Roanoke City (540) 342-1877
MR. JOSHUA SETH PROL
Nurse Practitioner
2001 COLONIAL AVE SW
ROANOKE, VA 24015
Roanoke City (540) 342-1877
REGENA GEHO NP
Nurse Practitioner (Family)
2001 COLONIAL AVE SW
ROANOKE, VA 24015
Roanoke City (866) 389-2727

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 Randall Green's NPI number?

The NPI number for Randall Green is 1295540821. It was assigned to this individual provider in the NPPES registry on February 11, 2025.

Where is Randall Green located?

Randall Green practices at 2001 Colonial Ave SW, Roanoke, VA 24015. The listed phone number is (866) 389-2727.

What is Randall Green's specialty?

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

Is Randall Green enrolled in Medicare?

Yes. Randall Green 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 Randall Green's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Randall Green reassigns Medicare benefits to 2 organizations: Minuteclinic Diagnostic Of Virginia LLC (Leesburg, VA) and Minuteclinic Primary Care - Virginia PLLC (Leesburg, 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 Randall Green's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Randall Green accept?

Health plans from Oscar Health list Randall Green 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 Randall Green was last updated on January 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.