MS. ANDREA CHRISTINE RUDOLPH RN, MSN, ACNP
NPI 1811109986
Nurse Practitioner - Acute Care in Los Angeles, CA
About Ms. Andrea Christine Rudolph Rn, Msn, Acnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. ANDREA CHRISTINE RUDOLPH RN, MSN, ACNP (NPI 1811109986) is an individual acute care provider in Los Angeles, California, licensed in California (13834) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2001).
NPPES Registry Identity
Specialties & Licenses
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
Ms. Andrea Christine Rudolph Rn, Msn, Acnp 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.
Medicare Billing Reassignments
2Medicare enrollment records show Andrea Rudolph reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Simi Valley, CA 93065
- Reassigned Medicare billing, California enrollment
- 710 clinicians in this Medicare group
Camarillo, CA 93012
- Reassigned Medicare billing, California enrollment
- 267 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.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90095 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
LOS ANGELES, CA 90095
LOS ANGELES, CA 90095
LOS ANGELES, CA 90095
LOS ANGELES, CA 90095
LOS ANGELES, CA 90095
LOS ANGELES, CA 90095
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 Andrea Rudolph's NPI number?
The NPI number for Andrea Rudolph is 1811109986. It was assigned to this individual provider in the NPPES registry on May 3, 2007.
Where is Andrea Rudolph located?
Andrea Rudolph practices at 100 Ucla Medical Plz Suite 760, Los Angeles, CA 90095. The listed phone number is (310) 264-7246.
What is Andrea Rudolph's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Andrea Rudolph enrolled in Medicare?
Yes. Andrea Rudolph 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 organizations bill Medicare for Andrea Rudolph's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Andrea Rudolph reassigns Medicare benefits to 2 organizations: County Of Ventura (Simi Valley, CA) and Community Memorial Health System (Camarillo, CA). Each 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 Andrea Rudolph's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Andrea Rudolph was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Ms. Andrea Christine Rudolph, RN, MSN, ACNP · NPI 1811109986
Acute Care physician in Los Angeles, California. Individual provider, active in the CMS NPPES registry since May 3, 2007.
## Identity
- **NPI:** 1811109986 (Entity type: Individual)
- **Enumerated:** May 3, 2007
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 13834 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 100 UCLA MEDICAL PLZ, SUITE 760, Los Angeles, CA 90095-0001
- **Phone:** (310) 264-7246 · **Fax:** (310) 882-7005
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): County Of Ventura (NPI 1013139658, Simi Valley, CA); Community Memorial Health System (NPI 1871919126, Camarillo, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2001
## Record status
- **NPPES last updated:** July 8, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1811109986) · Data from the CMS NPPES public registry.