MICHELE RANDOLPH AGACNP
NPI 1649084690
Nurse Practitioner - Acute Care in Orange, VA

Active since February 01, 2025PECOS EnrolledAccepts Medicare Assignment
661 UNIVERSITY LN STE B, ORANGE, VA 22960(540) 661-3004 Get Directions Write a Review

NPPES record last updated: January 12, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Michele Randolph Agacnp NPPES

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

MICHELE RANDOLPH AGACNP (NPI 1649084690) is an individual acute care provider in Orange, Virginia, licensed in Virginia (0024194769) and active in the NPI registry since February 2025. She is enrolled in Medicare PECOS, is affiliated with University Of Virginia Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1649084690
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameMICHELE RANDOLPHCredential: AGACNP
Location Address661 UNIVERSITY LN STE BOrange, VA 22960-2243
Mailing AddressPo Box 749112Atlanta, GA 30374-9112 · (434) 295-1000
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateFebruary 1, 2025
Last NPPES UpdateJanuary 12, 2026
NPPES CertifiedJanuary 12, 2026
✔ NPI 1649084690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in VA · 0024194769
Also ListedInternal Medicine · NephrologyTaxonomy 207RN0300X · License 0024194769 (VA)
661 UNIVERSITY LN STE B, Orange, VA 22960

Secondary Practice Locations 2

Location 11215 Lee StCharlottesville, VA 22908-0816 · Phone (434) 924-9333
Location 278 Medical Center DrFishersville, VA 22939-2332 · Phone (540) 332-4000 ext. 4240

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

Michele Randolph Agacnp 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 ID5395222459
PECOS Enrollment IDI20260120002838
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 Michele Randolph reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Neuromusculoskeletal Medicine, Sports Medicine
4105 LEWIS AND CLARK DR
Charlottesville, VA 22911
  • Reassigned Medicare billing, Virginia enrollment
  • 2,820 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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of Virginia Medical Center

Acute Care Hospitals · Charlottesville, VA
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number490009
Location1215 Lee StreetCharlottesville, VA 22908 · Charlottesville City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22960 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 12

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

Nurse Practitioner (Family)
661 UNIVERSITY LN STE B
ORANGE, VA 22960
Internal Medicine
661 UNIVERSITY LN STE B
ORANGE, VA 22960
Counselor (Professional)
661 UNIVERSITY LN STE B
ORANGE, VA 22960
Physician Assistant
661 UNIVERSITY LN STE B
ORANGE, VA 22960
Internal Medicine (Nephrology)
661 UNIVERSITY LN STE B
ORANGE, VA 22960
Pharmacist
661 UNIVERSITY LN STE B
ORANGE, VA 22960
Internal Medicine (Nephrology)
661 UNIVERSITY LN STE B
ORANGE, VA 22960
Internal Medicine
661 UNIVERSITY LN STE B
ORANGE, VA 22960

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 Michele Randolph's NPI number?

The NPI number for Michele Randolph is 1649084690. It was assigned to this individual provider in the NPPES registry on February 1, 2025.

Where is Michele Randolph located?

Michele Randolph practices at 661 University Ln Ste B, Orange, VA 22960. The listed phone number is (540) 661-3004.

What is Michele Randolph's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Michele Randolph enrolled in Medicare?

Yes. Michele Randolph 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 organization bills Medicare for Michele Randolph's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michele Randolph reassigns Medicare benefits to University Of Virginia Physicians Group (Charlottesville, VA). 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 Michele Randolph's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Michele Randolph affiliated with any hospitals?

According to CMS data, Michele Randolph is affiliated with University Of Virginia Medical Center.

When was this NPI record last updated?

The NPPES record for Michele Randolph was last updated on January 12, 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.