NPIMap

Individual provider Active NPI

Kelly Randermann, APRN, FNP-C

  • Family Nurse Practitioner
  • Columbus, TX
National Provider Identifier
1497138515
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP128474 Issued in TX
Practice address
2122 Highway 71 S Ste 101
Columbus, TX 78934-3011
Phone
(979) 732-2318
Fax
(979) 733-8757
NPI assigned
Jul 7, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP128474 TX Primary

Addresses

Primary practice location

2122 Highway 71 S Ste 101
Columbus, TX 78934-3011

Mailing address

2122 Highway 71 S Ste 101
Columbus, TX 78934-3011
Phone (979) 732-2318

Other practice location 1

109 Shult Dr
Columbus, TX 78934-3009
Phone (979) 732-2318

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251008003027 WY Practitioner - Nurse Practitioner 7911204342 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Houston - College of Optometry, 2015
Medicare assignment
May accept Medicare assignment
Group practices
Weston County Hospital DistrictGroup PAC ID 0042293276, 12 clinicians
Cedar Hills Family Clinic, P.C.Group PAC ID 7315929056, 7 clinicians

Practice addresses (Care Compare)

1121 Washington Blvd
Newcastle, WY 82701-2968
Phone (307) 746-6720

1124 Washington Blvd
Newcastle, WY 82701-2972
Phone (307) 746-4491

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AP128474TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Weston County Hospital District CurrentSince Sep 1, 2025 Accepting new patients
Columbus Community Hospital CurrentSince Feb 6, 2016 Accepting new patients
Columbus Community Hospital CurrentSince Feb 6, 2016 Accepting new patients
Weston County Hospital District CurrentSince Sep 1, 2025 Accepting new patients
Columbus Community Hospital PastSince May 10, 2020 Accepting new patients

Locations

109 Shult Dr
Columbus, TX 78934
Phone (979) 732-2361

110 Shult Dr
Columbus, TX 78934
Phone (979) 493-7560

109 Shult Dr
Ste 102
Columbus, TX 78934
Phone (409) 732-6263

2122 Highway 71 S
#101
Columbus, TX 78934
Phone (979) 732-2318

2122 Highway 71 S
Ste 101
Columbus, TX 78934
Phone (979) 732-2318

1121 Washington Blvd
Newcastle, WY 82701
Phone (307) 746-3582

1124 Washington Blvd
Newcastle, WY 82701
Phone (307) 746-3715

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.

Hospital & facility affiliations 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1436227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784246400000",
    "number": "1497138515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 HIGHWAY 71 S STE 101",
            "city": "COLUMBUS",
            "state": "TX",
            "postal_code": "789343011",
            "telephone_number": "979-732-2318",
            "fax_number": "979-733-8757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2122 HIGHWAY 71 S STE 101",
            "city": "COLUMBUS",
            "state": "TX",
            "postal_code": "789343011",
            "telephone_number": "979-732-2318",
            "fax_number": "979-733-8757"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "109 Shult Dr",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "TX",
            "postal_code": "789343009",
            "country_code": "US",
            "telephone_number": "979-732-2318",
            "fax_number": "979-733-8757",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RANDERMANN",
        "first_name": "KELLY",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-07",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP128474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, TX

Sources for this page

Verify at the official NPI Registry.