Courtney Dyan Randolph, ARNP
NPI 1558071597ActiveIndividual· Nurse Practitioner, Family· Bonney Lake, WA
Nurse Practitioner, Family (ARNP) with Multicare Health System, practicing in Bonney Lake, Washington. Their prescriptions cost Medicare Part D more than their services did: $43,948 for 901 claims, against $8,950 paid for services in 2024. Lists Tacoma General Allenmore Hospital as a hospital affiliation.
Overview
| NPI | 1558071597 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | ARNP |
| Sole proprietor | No |
| NPI issued | Nov 30, 2022 |
| Last updated in NPPES | Nov 30, 2022 |
| Certified by provider | Nov 30, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | AP61372574 | WA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (WA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 40 |
|---|---|
| Services billed | 227 across 36 procedure codes |
| Paid by Medicare | $8,950 |
Part D prescriptions in 2024
| Prescriptions (claims) | 901 · 2,220 30-day fills |
|---|---|
| Patients | 125 |
| Total drug cost | $43,948 |
| Generic share | 92% of claims |
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical group
- Multicare Health SystemTacoma, WA · 2,325 clinicians
Hospital affiliation
- Tacoma General Allenmore HospitalTacoma, WA
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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