MR. RANDALL DEVIN GREEN JR. FNP-C, RN, AE-C, CPN
NPI 1295540821
Nurse Practitioner - Family in Roanoke, VA
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
Specialties & Licenses
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
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.
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.
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.
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.
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 6 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.
# Mr. Randall Devin Green Jr., FNP-C, RN, AE-C, CPN · NPI 1295540821
Family physician in Roanoke, Virginia. Individual provider, active in the CMS NPPES registry since February 11, 2025.
## Identity
- **NPI:** 1295540821 (Entity type: Individual)
- **Enumerated:** February 11, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 0024194196 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 2001 COLONIAL AVE SW, Roanoke, VA 24015-3210
- **Phone:** (866) 389-2727
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** January 26, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1295540821) · Data from the CMS NPPES public registry.