RANDOLPH WADSWORTH JR.
NPI 1730589243
Nurse Practitioner - Family in Latrobe, PA

Q: What is Randolph Wadsworth's NPI number?

The NPI number for Randolph Wadsworth is 1730589243. It was assigned to this individual provider in the NPPES registry on September 3, 2014.

Q: What is Randolph Wadsworth's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since September 03, 2014PECOS Enrolled

1 MELLON WAY, EHMG HOSPITALIST GROUP, LATROBE, PA 15650(724) 537-1801(724) 532-6830 Get Directions Write a Review

NPPES record last updated: April 4, 2017. Verified against the NPPES registry weekly; last sync: September 27, 2026.

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About Randolph Wadsworth Jr. NPPES

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

RANDOLPH WADSWORTH JR. (NPI 1730589243) is an individual family provider in Latrobe, Pennsylvania, licensed in Pennsylvania (SP014111) and active in the NPI registry since September 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730589243

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameRANDOLPH WADSWORTH JR.

Location Address1 MELLON WAY, EHMG HOSPITALIST GROUPLatrobe, PA 15650-1197

Mailing Address520 Jefferson Ave, Suite 400Jeannette, PA 15644-2538 · (724) 527-8060 · Fax (724) 522-4002

Phone(724) 537-1801

Fax(724) 532-6830

Sole ProprietorNo

Enumeration DateSeptember 3, 2014

Last NPPES UpdateApril 4, 2017

✔ NPI 1730589243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in PA · SP014111

1 MELLON WAY, Latrobe, PA 15650

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Other Identifiers 1

Medicare PIN367887PA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Randolph Wadsworth Jr. 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 15650 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

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 20

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

JACOB EDWARD OSLOSKY DO

Family Medicine