DAVID RANDELL PHELPS (APRN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1215599881

DAVID RANDELL PHELPS (APRN) is a healthcare provider. based in Falls church, Virginia. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 0024177830 (VA). The NPI Number for DAVID RANDELL PHELPS (APRN) is 1215599881

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
DAVID RANDELL PHELPS (APRN)
NPI
1215599881
Phone
Not provided
Address
3300 GALLOWS RD
Enumeration Date
3 July 2019
Last Update Date
20 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2019 (7 years ago)
PAC ID
6507198405
Group Practice PAC ID
9537600424
Professional Enrollment ID
I20191112000437
Address ID
VA201694919HA15100STXX302
Telehealth
Yes

Contacts

Main Contact
Epic
Main Contact
Athena
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness85
Years active:6State licenses:1Other namesUpdated within 12 months

8,307 NURSE PRACTITIONER in VA

Provider Addresses for DAVID RANDELL PHELPS (APRN)

  • 3300 GALLOWS RD

    FALLS CHURCH, VA 220423307

    Phone:

    Type: Mailing

  • 7110 HERITAGE VILLAGE PLZ STE 101

    GAINESVILLE, VA 201553076

    Phone: (571) 556-8205

    Fax: (833) 428-8384

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-11-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20191025001747INurse PractitionerDCTBD
I20191112000437INurse PractitionerVATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99291Critical care, first 30-74 minutes2824$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 22042)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9537600424View full group profile
NameSpecialtyState
Nurse PractitionerMD
Nurse PractitionerVA

Reviews

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Frequently asked questions

How do payers reference DAVID RANDELL PHELPS (APRN)?
For DAVID RANDELL PHELPS (APRN), use NPI 1215599881 as the unique 10-digit identifier.
Is DAVID RANDELL PHELPS (APRN) shown as active in public data?
Registry records indicate DAVID RANDELL PHELPS (APRN) maintains an active NPI.
What expertise is attributed to DAVID RANDELL PHELPS (APRN)?
DAVID RANDELL PHELPS (APRN)'s specialty line reads Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is DAVID RANDELL PHELPS (APRN) located near Falls Church?
DAVID RANDELL PHELPS (APRN) currently maps to Falls Church, Virginia in this extract.
Can I trust this NPI listing for DAVID RANDELL PHELPS (APRN)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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