Individual provider Active NPI

Mercedes Randolph, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Loveland, CO
National Provider Identifier
1053656447
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APN.0999251-NP Issued in CO
Practice address
4575 Byrd Dr
Loveland, CO 80538-7198
Phone
(970) 593-3300
NPI assigned
Dec 11, 2012
Last updated
May 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APN.0999251-NP CO Primary
Registered Nurse 163W00000X 824676 CA

Addresses

Primary practice location

4575 Byrd Dr
Loveland, CO 80538-7198

Mailing address

4575 Byrd Dr
Loveland, CO 80538-7198
Phone (970) 593-3300

Other practice location 1

6507 S Santa Fe Dr
Littleton, CO 80120-2910
Phone (303) 730-8858

Other practice location 2

5500 S Sycamore St
Littleton, CO 80120-1132
Phone (303) 730-8858

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240808000957 CO Practitioner - Nurse Practitioner 3678010659 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Colorado in-Home CounselingGroup PAC ID 7214296409, 40 clinicians
Arapahoe Mental Health Center IncGroup PAC ID 7315850708, 126 clinicians

Practice addresses (Care Compare)

501 S Cherry St
Suite 820
Denver, CO 80246-1325
Phone (702) 589-4871

6507 S Santa Fe Dr
Littleton, CO 80120-2910
Phone (303) 730-8858

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
824676CAMDRegistered Nurse
APN.0999251-NPCOMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado in-Home Counseling Single Specialty CurrentSince Aug 1, 2024 Accepting new patients

Locations

501 S Cherry St
Ste 820
Denver, CO 80246
Phone (303) 884-9682

2200 Paseo Verde Pkwy
Ste 190
Henderson, NV 89052
Phone (702) 483-5061

Interoperability endpoints

  • Direct secure messaging: mercedes.randolph.1@24259.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1355184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778544000000",
    "number": "1053656447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4575 BYRD DR",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805387198",
            "telephone_number": "970-593-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4575 BYRD DR",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805387198",
            "telephone_number": "970-593-3300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6507 S Santa Fe Dr",
            "address_purpose": "LOCATION",
            "city": "Littleton",
            "state": "CO",
            "postal_code": "801202910",
            "country_code": "US",
            "telephone_number": "303-730-8858",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5500 S Sycamore St",
            "address_purpose": "LOCATION",
            "city": "Littleton",
            "state": "CO",
            "postal_code": "801201132",
            "country_code": "US",
            "telephone_number": "303-730-8858",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RANDOLPH",
        "first_name": "MERCEDES",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-11",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "APN.0999251-NP",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "824676",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loveland, CO

Sources for this page

Verify at the official NPI Registry.