Randall K Cundiff, ARNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

44884 Issued in KS

Practice address

311 E Spruce St
Garden City, KS 67846-5614

Phone

(620) 275-3030

Fax

(620) 275-3025

NPI assigned

May 16, 2006

Last updated

Apr 17, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KS

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

Specialty

Nurse Practitioner

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Commonspirit Kansas IncGroup PAC ID 4789595844, 62 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St. Catherine Hospital - Garden City Hospital, Garden City, KS, CCN 170023
• Bob Wilson Memorial Hospital Hospital, Ulysses, KS, CCN 171388
• Hamilton County Hospital Hospital, Syracuse, KS, CCN 171322

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Commonspirit Kansas, Inc.

  dba St. Catherine Hospital - Garden City

  • General Acute Care Hospital
  • Garden City, KS
  • NPI 1659360196
  Medicare reassignment Care Compare group NPD
• Racy's Medical Clinic

  • Primary Care Clinic/Center
  • Cimarron, KS
  • NPI 1891054474
  NPD (past) Authorized official
• Commonspirit Kansas, Inc.

  • Pediatrics Physician
  • Garden City, KS
  • NPI 1922558279
  NPD
• St Catherine Hospital

  • Family Medicine Physician
  • Ulysses, KS
  • NPI 1528771029
  NPD
• Commonspirit Kansas, Inc.

  • Orthopaedic Surgery Physician
  • Garden City, KS
  • NPI 1326751140
  NPD (past)
• Commonspirit Kansas, Inc.

  • Cardiovascular Disease Physician
  • Garden City, KS
  • NPI 1528770468
  NPD (past)
• Randall K Cundiff

  dba Racy's Medical Clinic

  • Family Medicine Physician
  • Cimarron, KS
  • NPI 1902003254
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Commonspirit Kansas, Inc.

  dba Bob Wilson Memorial Hospital

  • Critical Access Hospital
  • Ulysses, KS
  • NPI 1235826454
  Care Compare affiliation
• Commonspirit Kansas, Inc.

  dba St. Catherine Hospital - Garden City

  • General Acute Care Hospital
  • Garden City, KS
  • NPI 1659360196
  Care Compare affiliation
• Hamilton County Hospital

  • Critical Access Hospital
  • Syracuse, KS
  • NPI 1932136074
  Care Compare affiliation

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1104877760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 803929",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641803929",
            "telephone_number": "800-953-0104",
            "fax_number": "303-765-6670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 E SPRUCE ST",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "678465614",
            "telephone_number": "620-275-3030",
            "fax_number": "620-275-3025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNDIFF",
        "first_name": "RANDALL",
        "middle_name": "K",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "44884",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100338290C",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• County of Finney (Finney County EMS)
• County of Finney
• May Craig, OT
• Kristen Marie Crowley, N.P.
• Tabatha Cruz, LPC-T
• Stacey Cundiff
• Ric A Dalke, LSCSW
• Linh Tieu Dang, FNP
• Melissa G Dauber, CPTA
• Melissa Denise Daughty

• Nurse Practitioner in Garden City, KS
• Providers in Garden City, KS by specialty
• Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.