Active NPI
Randie Elise Lugenbeal, PA-C
- Physician Assistant
- Erie, PA
National Provider Identifier
1376207019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- MA063085
- Practice address
- 100 Peach St Ste 300
Erie, PA 16507-1423 - Phone
- (814) 459-1851
- NPI assigned
- Oct 28, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MA063085 | PA | Primary |
Addresses
Primary practice location
100 Peach St Ste 300
Erie, PA 16507-1423
Mailing address
1414 W 11TH St Apt 1
Erie, PA 16502-2967
Phone (814) 860-0847
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220330003130 | PA | Practitioner - Physician Assistant | 9931595956 | Reassigns benefits to 2 organizations |
| I20230712001338 | OH | Practitioner - Physician Assistant | 9931595956 |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Peach St
Erie, PA 16507-1423
Phone (814) 459-1851
2861 W 26TH St
Suite 1
Erie, PA 16506-3064
Phone (814) 480-7760
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Laboratory Associates of Erie LLC | Current | Accepting new patients | |
| Francis H. Tseng MD | Past | Accepting new patients | |
| Clinical Practice of Lecom Institute for Successful Living | Past | Accepting new patients |
Interoperability endpoints
- rlugenbeal274669@direct.ahn.org
- randie.lugenbeal.1@28732.direct.athenahealth.com
- rlugenbeal@lisl.medentdirect.com
Organizations & group practices 5
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.
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-
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- NPI 1184669228
-
- Rural Health Clinic/Center
- Ashtabula, OH
- NPI 1356102859
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676937600000",
"number": "1376207019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1414 W 11TH ST APT 1",
"city": "ERIE",
"state": "PA",
"postal_code": "165022967",
"telephone_number": "814-860-0847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 PEACH ST STE 300",
"city": "ERIE",
"state": "PA",
"postal_code": "165071423",
"telephone_number": "814-459-1851"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUGENBEAL",
"first_name": "RANDIE",
"middle_name": "ELISE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-28",
"last_updated": "2023-02-21",
"certification_date": "2023-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "MA063085",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Erie, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.