Erin Randolph, APRN

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

52795 Issued in WV

Practice address

122 Pinnell St
Ripley, WV 25271-9101

Phone

(304) 373-1507

Fax

(304) 373-1598

NPI assigned

Sep 17, 2015

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

Medicare fee-for-service enrollment

Enrolled in WV

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

JC Edwards School of Medicine, Marshall University, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Community Health AssociationGroup PAC ID 1759291313, 69 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Jackson General Hospital Hospital, Ripley, WV, CCN 511320

Merit-based Incentive Payment System (MIPS)

Final score

95.34 of 100Reported as apm

Quality

79.86

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Community Health Association

  • Critical Access Hospital
  • Ripley, WV
  • NPI 1649277476
  Medicare reassignment Care Compare group NPD
• Community Health Association

  • Medicare Defined Swing Bed Hospital Unit
  • Ripley, WV
  • NPI 1083805790
  NPD
• Community Health Association

  • Anesthesiology Physician
  • Ripley, WV
  • NPI 1629559315
  NPD
• Community Health Association

  • Physical Therapy Clinic/Center
  • Ravenswood, WV
  • NPI 1124369780
  NPD (past)

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

• Community Health Association

  • Family Medicine Physician
  • Ripley, WV
  • NPI 1235753286

  Hospital

  Care Compare affiliation
• Community Health Association

  • Critical Access Hospital
  • Ripley, WV
  • NPI 1649277476
  Care Compare affiliation

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

{
    "created_epoch": "1442448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442448000000",
    "number": "1508235755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 PINNELL ST",
            "city": "RIPLEY",
            "state": "WV",
            "postal_code": "252719101",
            "telephone_number": "304-373-1507",
            "fax_number": "304-373-1598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 PINNELL ST",
            "city": "RIPLEY",
            "state": "WV",
            "postal_code": "252719101",
            "telephone_number": "304-373-1507",
            "fax_number": "304-373-1598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDOLPH",
        "first_name": "ERIN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-17",
        "last_updated": "2015-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "WV",
            "license": "52795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Premier Imaging and Intervention, PLLC
• Premiere Mental Health & Behavioral Medicine LLC
• Janice Price
• Sharon Elaine Purdy
• Megan Quinn
• Jessica Kay Randolph
• Nora Redman
• Chasity D Reynolds, RN
• Dreama L Rhodes
• Lori Rhodes, PT, DPT

• Primary Care Nurse Practitioner in Ripley, WV
• Providers in Ripley, WV by specialty
• Primary Care Nurse Practitioner in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2015; 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.