VIRGINIA DIANE RUDOLF AGACNP-BC
NPI 1326561135
Nurse Practitioner - Adult Health in Mobile, AL

Active since July 24, 2017PECOS EnrolledAccepts Medicare Assignment
81.8/100
CMS Quality Rating
3290 DAUPHIN ST STE 301, MOBILE, AL 36606(251) 660-5930(251) 660-5931 Get Directions Write a Review

NPPES record last updated: May 21, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 30, 2024, Jul 24, 2017 (2 updates tracked since 2017).

About Virginia Diane Rudolf Agacnp-bc NPPES

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

VIRGINIA DIANE RUDOLF AGACNP-BC (NPI 1326561135) is an individual adult health provider in Mobile, Alabama, licensed in Alabama (3-000465) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1326561135
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameVIRGINIA DIANE RUDOLFCredential: AGACNP-BC
Location Address3290 DAUPHIN ST STE 301Mobile, AL 36606-4052
Mailing AddressPo Box 21595Belfast, ME 04915-4112 · (251) 300-5941
Fax(251) 660-5931
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJuly 24, 2017
Last NPPES UpdateMay 21, 20242 updates tracked since enumeration
NPPES CertifiedMay 21, 2024
✔ NPI 1326561135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in AL · 3-000465
Also ListedNurse PractitionerTaxonomy 363L00000X · License 902189 (MS), 3-000465 (AL)
3290 DAUPHIN ST STE 301, Mobile, AL 36606

Other Names 1

Former Name (1)Virginia Diane Duckworth Agacnp-bc

Accepted 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

Virginia Diane Rudolf Agacnp-bc 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 ID6800152711
PECOS Enrollment IDI20171109001375
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

3

Medicare enrollment records show Virginia Rudolf reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
2451 UNIVERSITY HOSPITAL DR
Mobile, AL 36617
  • Reassigned Medicare billing, Alabama enrollment
  • 857 clinicians in this Medicare group
Urology
168 MOBILE INFIRMARY BLVD
Mobile, AL 36607
  • Reassigned Medicare billing, Alabama and Mississippi enrollments
  • 59 clinicians in this Medicare group
Internal Medicine
6300 USA HEALTH BLVD
Mobile, AL 36608
  • Reassigned Medicare billing, Alabama enrollment
  • 95 clinicians in this Medicare group

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 6

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.

Manual urinalysis test with examination using microscope, automated 81001
A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.
180 services123 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
122 services95 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
90 services75 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
87 services67 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
22 services22 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36606 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

81.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.21
Promoting Interoperability100
Improvement Activities40
Cost69.13

Referred Medical Equipment & Supplies CMS DME claims

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

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
2 suppliers14 claims2,010 services$1.76 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 15

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

Urology
3290 DAUPHIN ST STE 301
MOBILE, AL 36606
Nurse Practitioner (Family)
3290 DAUPHIN ST STE 301
MOBILE, AL 36606
Nurse Practitioner (Family)
3290 DAUPHIN ST STE 301
MOBILE, AL 36606
Nurse Practitioner (Pediatrics)
3290 DAUPHIN ST STE 301
MOBILE, AL 36606
Urology
3290 DAUPHIN ST STE 301
MOBILE, AL 36606
Nurse Practitioner (Family)
3290 DAUPHIN ST STE 301
MOBILE, AL 36606
Urology (Urogynecology and Reconstructive Pelvic Surgery)
3290 DAUPHIN ST STE 301
MOBILE, AL 36606
Physician Assistant
3290 DAUPHIN ST STE 301
MOBILE, AL 36606

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 Virginia Rudolf's NPI number?

The NPI number for Virginia Rudolf is 1326561135. It was assigned to this individual provider in the NPPES registry on July 24, 2017. The provider is also known as Virginia Diane Duckworth Agacnp-Bc.

Where is Virginia Rudolf located?

Virginia Rudolf practices at 3290 Dauphin St Ste 301, Mobile, AL 36606. The listed phone number is (251) 660-5930.

What is Virginia Rudolf's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Virginia Rudolf enrolled in Medicare?

Yes. Virginia Rudolf 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 Virginia Rudolf's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Virginia Rudolf reassigns Medicare benefits to 3 organizations: Usa Health Physician Billing Services LLC (Mobile, AL), Urology Associates Of Mobile, P.A. (Mobile, AL) and University Of South Alabama Health Care Authority (Mobile, AL). 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 Virginia Rudolf's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Virginia Rudolf accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 5 other insurers list Virginia Rudolf 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 Virginia Rudolf was last updated on May 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.