Kimberlee Randall, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

121043 Issued in IA

Practice address

1316 S Main St
Clarion, IA 50525-2019

Phone

(515) 532-2811

Fax

(515) 532-3119

NPI assigned

Sep 4, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Physician Assistant

Education

Lincoln Mem Univ, Debusk Col of Osteopathic Med, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Iowa Specialty Hospital - Clarion Hospital, Clarion, IA, CCN 161302

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kimberlee.randall@hca4.eclinicaldirectplus.com

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

• Tenet Florida Physician Services II, LLC

  • Orthopaedic Surgery Physician
  • West Palm Beach, FL
  • NPI 1912266420

  Physician Assistant

  Medicare reassignment NPD
• Belmond Community Hospital

  • Critical Access Hospital
  • Belmond, IA
  • NPI 1932142726
  NPD
• Iowa Specialty Hospital- Clarion

  • Critical Access Hospital
  • Clarion, IA
  • NPI 1821045451
  NPD
• Tenet Florida Physician Services II, LLC

  • Durable Medical Equipment & Medical Supplies
  • Boca Raton, FL
  • NPI 1770391286
  NPD

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

• Iowa Specialty Hospital- Clarion

  • Critical Access Hospital
  • Clarion, IA
  • NPI 1821045451
  Care Compare affiliation

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

{
    "created_epoch": "1409788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702857600000",
    "number": "1194126565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1316 S MAIN ST",
            "city": "CLARION",
            "state": "IA",
            "postal_code": "505252019",
            "telephone_number": "515-532-2811",
            "fax_number": "515-532-3119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 S MAIN ST",
            "city": "CLARION",
            "state": "IA",
            "postal_code": "505252019",
            "telephone_number": "515-532-2811",
            "fax_number": "515-532-3119"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2402 Frist Blvd",
            "address_2": "#102",
            "address_purpose": "LOCATION",
            "city": "Fort Pierce",
            "state": "FL",
            "postal_code": "349504838",
            "country_code": "US",
            "telephone_number": "772-456-4561",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "403 1st St SE",
            "address_purpose": "LOCATION",
            "city": "Belmond",
            "state": "IA",
            "postal_code": "504211201",
            "country_code": "US",
            "telephone_number": "641-444-3500",
            "fax_number": "319-343-1161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RANDALL",
        "first_name": "KIMBERLEE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-04",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "121043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "KIMBERLEE.RANDALL@hca4.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "2402 Frist Blvd",
            "address_2": "#102",
            "city": "Fort Pierce",
            "state": "FL",
            "country_code": "US",
            "postal_code": "349504838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Tia Prebeck
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• Regina J Reedy, ARNP
• Carrie Jane Reese, ARNP
• Helen Hannah Retleff, FNP-C
• Denise Ann Ricklefs

• Physician Assistant in Clarion, IA
• Providers in Clarion, IA by specialty
• Physician Assistant in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; 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.