Jessica Randolph, LPC, PA
NPI 1174842215ActiveIndividual· Physician Assistant, Medical· Tahlequah, OK
Physician Assistant, Medical (LPC, PA) with Cherokee Nation, practicing in Tahlequah, Oklahoma. Their prescriptions cost Medicare Part D more than their services did: $85,537 for 1,238 claims, against $14,082 paid for services in 2024. Lists Cherokee Nation W W Hastings Indian Hospital as a hospital affiliation.
Overview
| NPI | 1174842215 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LPC, PA |
| Sole proprietor | No |
| NPI issued | May 28, 2010 |
| Last updated in NPPES | May 5, 2026 |
| Certified by provider | May 5, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Medical Primary | 363AM0700X | 3205 | OK |
| Counselor, Professional | 101YP2500X | 5388 | OK |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (AR); Practitioner - Mental Health Counselor (OK); Practitioner - Physician Assistant (OK); Practitioner - Physician Assistant (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 73 |
|---|---|
| Services billed | 364 across 11 procedure codes |
| Paid by Medicare | $14,082 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,238 · 1,498 30-day fills |
|---|---|
| Patients | 101 |
| Total drug cost | $85,537 |
| Generic share | 97% of claims |
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Physician Assistant |
| Telehealth | Offers telehealth |
Medical group
- Cherokee NationTahlequah, OK · 449 clinicians
Hospital affiliation
- Cherokee Nation W W Hastings Indian HospitalTahlequah, OK
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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