WENDY S RUDOLPH O.D.
NPI 1982912101
Optometrist in Springfield, VA
About Wendy S Rudolph O.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WENDY S RUDOLPH O.D. (NPI 1982912101) is an individual optometrist in Springfield, Virginia, licensed in Virginia (0618000183) and active in the NPI registry since September 2010. She is enrolled in Medicare PECOS.
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 (PECOS)
Wendy S Rudolph O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Wendy Rudolph reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fairfax, VA 22033
- Reassigned Medicare billing, District of Columbia and Virginia enrollments
- Also billed through NPI 1972275196 (Virginia)
- 2,492 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
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 22150 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.
SPRINGFIELD, VA 22150
SPRINGFIELD, VA 22150
SPRINGFIELD, VA 22150
SPRINGFIELD, VA 22150
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 Wendy Rudolph's NPI number?
The NPI number for Wendy Rudolph is 1982912101. It was assigned to this individual provider in the NPPES registry on September 22, 2010.
Where is Wendy Rudolph located?
Wendy Rudolph practices at 6501 Loisdale Ct Kaiser Permanente Springfield Medical Center, Springfield, VA 22150. The listed phone number is (703) 922-1000.
What is Wendy Rudolph's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Wendy Rudolph enrolled in Medicare?
Yes. Wendy Rudolph is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Wendy Rudolph's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Wendy Rudolph reassigns Medicare benefits to Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc (Fairfax, 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 Wendy 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 Wendy Rudolph was last updated on June 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Wendy S Rudolph, O.D. · NPI 1982912101
Optometrist provider in Springfield, Virginia. Individual provider, active in the CMS NPPES registry since September 22, 2010.
## Identity
- **NPI:** 1982912101 (Entity type: Individual)
- **Enumerated:** September 22, 2010
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 0618000183 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 6501 LOISDALE CT, KAISER PERMANENTE SPRINGFIELD MEDICAL CENTER, Springfield, VA 22150-1826
- **Phone:** (703) 922-1000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc (NPI 1215058326, Fairfax, VA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 3, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1982912101) · Data from the CMS NPPES public registry.