Randi Nielsen, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

201710044NPPP Issued in OR

Practice address

595 NW 11TH St
Hermiston, OR 97838-6600

Phone

(541) 567-2536

NPI assigned

Jun 12, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in OR, MT, WA3 enrollments

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 3

Specialty

Nurse Practitioner

Education

Creighton University School of Medicine, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Lifeways IncGroup PAC ID 4183696214, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: randi.nielsen.1@29013.direct.athenahealth.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.

• Lifeways, Inc

  • Community/Behavioral Health Agency
  • Ontario, OR
  • NPI 1568558955
  Medicare reassignment Care Compare group NPD
• William Forsythe, DO, PLLC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Kennewick, WA
  • NPI 1003143652

  MT

  Medicare reassignment NPD
• Lifeways, Inc

  • Psychiatric Residential Treatment Facility
  • Hermiston, OR
  • NPI 1144761784
  NPD
• Lifeways, Inc

  • Community/Behavioral Health Agency
  • Pendleton, OR
  • NPI 1932295326
  NPD
• Imminent Health PLLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Kennewick, WA
  • NPI 1154912673

  Nurse Practitioner

  NPD

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

{
    "created_epoch": "1434067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522108800000",
    "number": "1437530656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 SUNSET DR",
            "city": "ONTARIO",
            "state": "OR",
            "postal_code": "979143121",
            "telephone_number": "541-889-9167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 NW 11TH ST",
            "city": "HERMISTON",
            "state": "OR",
            "postal_code": "978386600",
            "telephone_number": "541-567-2536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIELSEN",
        "first_name": "RANDI",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-12",
        "last_updated": "2018-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP60623651",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "111815",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OR",
            "license": "201710044NPPP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• New Horizon Program
• New Life Wellness LLC
• Aimee Nguyen
• Amy Nguyen
• Pablo Esteban Nicacio, DDS
• NJP Eyecare, LLC
• Susan E Norquist, RN
• Annie Elaine Nunley, PA-C
• Tracia Nunnally, CADC-R
• Asuzena Kay Ochoa, CRM

• Nurse Practitioner in Hermiston, OR
• Providers in Hermiston, OR by specialty
• Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2018; 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.