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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ALLISON MARIE RUDOLPH
NPI 1609747682
Nurse Practitioner - Pediatrics, Critical Care in Charlotte, NC

Active since September 15, 2025PECOS Enrolled
1001 BLYTHE BLVD STE 500, CHARLOTTE, NC 28203(704) 373-1813 Get Directions Write a Review

NPPES record last updated: September 9, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 9, 2026, Sep 15, 2025 (2 updates tracked since 2025).

About Allison Marie Rudolph NPPES

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

ALLISON MARIE RUDOLPH (NPI 1609747682) is an individual pediatrics, critical care provider in Charlotte, North Carolina, licensed in North Carolina (5023083) and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1609747682
Entity TypeIndividualFemale
Primary Taxonomy363LP0222X
Provider Legal NameALLISON MARIE RUDOLPH
Location Address1001 BLYTHE BLVD STE 500Charlotte, NC 28203-5863
Mailing Address1000 Blythe BlvdCharlotte, NC 28203-5812 · (704) 381-2000
Phone(704) 373-1813
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateSeptember 15, 2025
Last NPPES UpdateSeptember 9, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2026
✔ NPI 1609747682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Pediatrics, Critical CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0222X
License✔ Licensed in NC · 5023083
1001 BLYTHE BLVD STE 500, Charlotte, NC 28203
Open in Google Maps ↗

Other Names 1

Former Name (1)Allison Marie Rudolph Np

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina 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 (PECOS)

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

PECOS PAC ID9638665219
PECOS Enrollment IDI20260102002986
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 Reassignment

Medicare enrollment records show Allison Rudolph reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Carolinas Physicians Network, Inc.
0.1 mi
Hospice and Palliative Medicine
1021 MOREHEAD MEDICAL DR, SUITE 5100-A
Charlotte, NC 28204
  • Reassigned Medicare billing, North Carolina enrollment
  • 1,646 clinicians in this Medicare group
NPI 1215289665 (704) 512-2999

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 28203 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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 9

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

VANITRA WILLIAMS RN
Registered Nurse
1001 BLYTHE BLVD STE 500
CHARLOTTE, NC 28203
Mecklenburg County (704) 373-1813
ISABEL LACEY EASTERLING RD
Dietitian, Registered (Nutrition, Pediatric)
1001 BLYTHE BLVD STE 500
CHARLOTTE, NC 28203
Mecklenburg County (704) 373-1813
CARLY SCARBOROUGH
Genetic Counselor, MS
1001 BLYTHE BLVD STE 500
CHARLOTTE, NC 28203
Mecklenburg County (704) 381-3918
MADELYN BURK BOURGEOIS
Dietitian, Registered
1001 BLYTHE BLVD STE 500
CHARLOTTE, NC 28203
Mecklenburg County (704) 373-1813
TAYLOR ROSE MOEN
Dietitian, Registered
1001 BLYTHE BLVD STE 500
CHARLOTTE, NC 28203
Mecklenburg County (704) 373-1813
JACOB CAMERON HARTZ MD, MPH
Pediatrics (Pediatric Cardiology)
1001 BLYTHE BLVD STE 500
CHARLOTTE, NC 28203
Mecklenburg County (704) 373-1813
DOROTHEA ELIZABETH BROWN RN
Registered Nurse (Pediatrics)
1001 BLYTHE BLVD STE 500
CHARLOTTE, NC 28203
Mecklenburg County (704) 373-1813
MS. RACHEL MARIE ISOM RD
Dietitian, Registered
1001 BLYTHE BLVD STE 500
CHARLOTTE, NC 28203
Mecklenburg County (047) 373-1813

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 Allison Rudolph's NPI number?

The NPI number for Allison Rudolph is 1609747682. It was assigned to this individual provider in the NPPES registry on September 15, 2025. The provider is also known as Allison Marie Rudolph Np.

Where is Allison Rudolph located?

Allison Rudolph practices at 1001 Blythe Blvd Ste 500, Charlotte, NC 28203. The listed phone number is (704) 373-1813.

What is Allison Rudolph's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, Critical Care, with taxonomy code 363LP0222X.

Is Allison Rudolph enrolled in Medicare?

Yes. Allison Rudolph is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Allison Rudolph's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Allison Rudolph reassigns Medicare benefits to Carolinas Physicians Network, Inc. (Charlotte, NC). The 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 Allison Rudolph's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Allison Rudolph accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and BlueCross BlueShield of South Carolina and 2 other insurers list Allison Rudolph 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 Allison Rudolph was last updated on September 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 59 days 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.