Randalls Family Health Care
NPI 1639755945ActiveOrganization· Nurse Practitioner, Family· Fountain, CO
Nurse Practitioner, Family in Fountain, Colorado, registered in NPPES in March 2021. The authorized official on file is Adam Randall, Owner. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1639755945 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 18, 2021 |
| Last updated in NPPES | Oct 7, 2024 |
| Certified by provider | Oct 7, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
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 Part B Supplier - Clinic/Group Practice (CO); Part B Supplier - Clinic/Group Practice (OR) |
|---|
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