Cori Lynn Randall, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Ashley, ND
NPI 1083182174 · NPPES record last updated Nov 6, 2018
Key facts
- NPI
- 1083182174
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- R29524 (ND)
- Practice address
- 612 Center Ave N
Ashley, ND 58413-7013 - Phone
- (701) 288-3433
- NPI assigned
- Nov 6, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ashley Medical Center
Practice addresses (Care Compare)
612 Ctr Ave N
Ashley, ND 58413-7013
Phone (701) 288-3448
Hospital & facility affiliations
- Ashley Medical Center
- Sanford Medical Center Bismarck
- Avera St Lukes
- Ashley Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ND
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190111003070 | ND | Practitioner - Nurse Practitioner | 2466798475 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R29524 | ND | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signify Health Medical Associates, PLLC | Current |
Accepting new patients | |
| St. Luke'S Hospital | Current | Accepting new patients | |
| Ashley Medical Center | Current | Accepting new patients | |
| Ashley Medical Center | Current |
Accepting new patients | |
| Ashley Medical Center | Current |
Accepting new patients |
Locations
120 W Sweet Ave
Ste 400
Bismarck, ND 58504
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R29524 | ND | Yes |
Addresses
Primary practice location
612 Center Ave N
Ashley, ND 58413-7013
Mailing address
10710 Rose Dr
Bismarck, ND 58503-9716
Phone (701) 471-3111
Other providers in Ashley, ND
- Nina Klein
- Brooke Kosiak
- Corinne Lepp
- McIntosh County District Health Unit
- McIntosh County Social Services
- Bethany Alyce Schlenker
- Denise Kay Schweigert
- Jeremy St. Aubin
- Udom Tinsatul
- Melanie L Troup
All providers in Ashley, ND · Family Nurse Practitioner in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 6, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.