ANDREW GRANT AZDELL
NPI 1659021848
Student in an Organized Health Care Education/Training Program in Charlottesville, VA

Active since March 28, 2022PECOS Enrolled
1215 LEE ST, 800394, CHARLOTTESVILLE, VA 22908(434) 924-5306(434) 982-1064 Get Directions Write a Review

NPPES record last updated: March 31, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Andrew Grant Azdell NPPES

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

ANDREW GRANT AZDELL (NPI 1659021848) is an individual student in an organized health care education/training program in Charlottesville, Virginia and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS and maintains a secondary practice location in Richmond.

NPPES Registry Identity

NPI1659021848
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameANDREW GRANT AZDELL
Location Address1215 LEE ST, 800394Charlottesville, VA 22908-0816
Mailing Address1215 Lee St Box 800394Charlottesville, VA 22908-0816 · (434) 924-5306 · Fax (434) 982-1064
Fax(434) 982-1064
Sole ProprietorNo
Enumeration DateMarch 28, 2022
Last NPPES UpdateMarch 31, 2023
NPPES CertifiedMarch 31, 2023
NPI 1659021848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1215 LEE ST, Charlottesville, VA 22908

Secondary Practice Location 1

Location 11201 E Marshall St # 4-100Richmond, VA 23298-5026 · Phone (804) 828-9788

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Andrew Grant Azdell 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.

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner
1215 LEE ST
CHARLOTTESVILLE, VA 22908
Anesthesiology
1215 LEE ST
CHARLOTTESVILLE, VA 22908
Emergency Medicine
1215 LEE ST
CHARLOTTESVILLE, VA 22908
Anesthesiology
1215 LEE ST
CHARLOTTESVILLE, VA 22908
Hospitalist
1215 LEE ST
CHARLOTTESVILLE, VA 22908
Nurse Practitioner (Pediatrics)
1215 LEE ST
CHARLOTTESVILLE, VA 22908
Dermatology
1215 LEE ST, BOX 800744
CHARLOTTESVILLE, VA 22908
Pediatrics (Pediatric Gastroenterology)
1215 LEE ST
CHARLOTTESVILLE, VA 22908

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 Andrew Azdell's NPI number?

The NPI number for Andrew Azdell is 1659021848. It was assigned to this individual provider in the NPPES registry on March 28, 2022.

Where is Andrew Azdell located?

Andrew Azdell practices at 1215 Lee St 800394, Charlottesville, VA 22908. The listed phone number is (434) 924-5306.

What is Andrew Azdell's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Andrew Azdell enrolled in Medicare?

Yes. Andrew Azdell is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Andrew Azdell was last updated on March 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.