Jessica C. Randolph, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

53-83783-011 Issued in KS

Practice address

500 E Thorpe St
Lakin, KS 67860-9625

Phone

(620) 355-7111

NPI assigned

Nov 19, 2024

Last updated

Oct 6, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

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

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kearny County HospitalGroup PAC ID 0244148864, shared by 3 NPIs, 18 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Kearny County Hospital Hospital, Lakin, KS, CCN 171313

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/554843c8-8d71-4199-8499-511dff49069d/

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

• Kearny County Hospital

  • Health Service Clinic/Center
  • Lakin, KS
  • NPI 1447221569
  Medicare reassignment NPD
• Kearny County Hospital

  • Critical Access Hospital
  • Lakin, KS
  • NPI 1821096322
  Medicare reassignment NPD
• Kearny County Hospital

  dba Family Health Center

  • Health Service Clinic/Center
  • Deerfield, KS
  • NPI 1114282563
  NPD

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

• Kearny County Hospital

  • Critical Access Hospital
  • Lakin, KS
  • NPI 1821096322
  Care Compare affiliation

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

{
    "created_epoch": "1731974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791244800000",
    "number": "1548085038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 E THORPE ST",
            "city": "LAKIN",
            "state": "KS",
            "postal_code": "678609625",
            "telephone_number": "620-952-1546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E THORPE ST",
            "city": "LAKIN",
            "state": "KS",
            "postal_code": "678609625",
            "telephone_number": "620-355-7111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "506 E Thorpe St",
            "address_purpose": "LOCATION",
            "city": "Lakin",
            "state": "KS",
            "postal_code": "678609625",
            "country_code": "US",
            "telephone_number": "620-355-7550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RANDOLPH",
        "first_name": "JESSICA",
        "middle_name": "C.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-19",
        "last_updated": "2026-10-06",
        "certification_date": "2026-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-83783-011",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "206118",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Arlene Munson, D.O.
• Richard Olson, MD
• Norelia Marina Ordonez-Castillo, MD
• Patrick N Barker MD Facs PA
• Pioneer Home LLC
• Alyssa Ann Reimer, PA-C
• Rhandi Lee Rexroat, FNP
• Tyler Ray Riedl, D.C.
• Ginnie Lynn Rincones, APRN
• Cristina Saavedra, LMSW

• Family Nurse Practitioner in Lakin, KS
• Providers in Lakin, KS by specialty
• Family Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2026; 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.