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AMY JO RANDOLPH PA-C
NPI 1619328465
Physician Assistant in Fishersville, VA

Active since June 23, 2016PECOS Enrolled
66 PARKWAY LN, SUITE 101A, FISHERSVILLE, VA 22939(540) 451-2833 Get Directions Write a Review

NPPES record last updated: June 24, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Amy Jo Randolph Pa-c NPPES

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

AMY JO RANDOLPH PA-C (NPI 1619328465) is an individual physician assistant in Fishersville, Virginia, licensed in Virginia (0110005390) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619328465
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameAMY JO RANDOLPHCredential: PA-C
Location Address66 PARKWAY LN, SUITE 101AFishersville, VA 22939-2384
Mailing Address66 Parkway Ln, Suite 101aFishersville, VA 22939-2384 · (540) 451-2833
Phone(540) 451-2833
Sole ProprietorNo
Enumeration DateJune 23, 2016
Last NPPES UpdateJune 24, 2016
✔ NPI 1619328465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in VA · 0110005390
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
66 PARKWAY LN, Fishersville, VA 22939
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amy Jo Randolph Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22939 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
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Amy Randolph's NPI number?

The NPI number for Amy Randolph is 1619328465. It was assigned to this individual provider in the NPPES registry on June 23, 2016.

Where is Amy Randolph located?

Amy Randolph practices at 66 Parkway Ln Suite 101A, Fishersville, VA 22939. The listed phone number is (540) 451-2833.

What is Amy Randolph's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Amy Randolph enrolled in Medicare?

Yes. Amy Randolph is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Amy Randolph was last updated on June 24, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.