Individual provider Active NPI

Alyssa M Randolph, FNP-C

  • Nurse Practitioner
  • Carmel, IN
National Provider Identifier
1922546464
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71007267A Issued in IN
Practice address
10590 N Meridian St
Carmel, IN 46290-1028
Phone
(317) 338-6666
Fax
(317) 338-6066
NPI assigned
Feb 4, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 71007267A IN Primary

Addresses

Primary practice location

10590 N Meridian St
Carmel, IN 46290-1028

Mailing address

5510 S East St Ste H
Indianapolis, IN 46227-1939
Phone (317) 924-8425

Other practice location 1

7150 Clearvista Dr
Indianapolis, IN 46256-1695
Phone (317) 621-5719

Other practice location 2

5510 S East St Ste H
Indianapolis, IN 46227-1939
Phone (317) 924-8425

Other identifiers 1

IdentifierTypeStateIssuer
300004667MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address credentialing@nephdocs.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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

Enrollment IDStateProvider typePAC IDDetails
I20170725003006 IN Practitioner - Nurse Practitioner 3577833409 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Vincent Medical Group IncGroup PAC ID 7012047640, 728 clinicians

Practice addresses (Care Compare)

10590 N Meridian St
Carmel, IN 46290-1028
Phone (317) 338-6666

Hospital & facility affiliations

  • St Vincent Heart Center Hospital, Carmel, IN, CCN 150153
  • Ascension St Vincent Hospital Hospital, Indianapolis, IN, CCN 150084

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
71007267AINMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Physicians of Indiana Inc CurrentSince Jun 1, 2021 Accepting new patients
St. Vincent Medical Group, Inc. CurrentSince Jul 21, 2025 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Jun 1, 2021 Accepting new patients
Community Howard Physician Network, LLC Current Accepting new patients
St. Vincent Medical Group, Inc. CurrentSince Jul 21, 2025 Accepting new patients
Nephrology Associates of Northern Indiana, Inc CurrentSince Sep 1, 2023 Accepting new patients
St Vincent Medical Group Inc Past Accepting new patients
Major Hospital Past Accepting new patients

Locations

5819 Reliable Pkwy
Chicago, IL 60686

120 W 22nd St
Ste 200
Oak Brook, IL 60523
Phone (630) 575-5000

10590 N Meridian St
Carmel, IN 46290
Phone (317) 338-6666

13648 Olivia Way
#B
Fishers, IN 46037

569 Tyler St
Gary, IN 46402
Phone (260) 885-3300

6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547

8433 Harcourt Rd
Ste 100
Indianapolis, IN 46260
Phone (317) 583-7702

9670 E Washington St
Ste 225
Indianapolis, IN 46229

5510 S East St
Ste H
Indianapolis, IN 46227
Phone (317) 924-8420

6820 Parkdale Pl
Ste 105
Indianapolis, IN 46254
Phone (317) 328-6730

7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444

7150 Clearvista Dr
Indianapolis, IN 46256
Phone (317) 355-5041

2480 N Meridian St
Indianapolis, IN 46208
Phone (317) 923-4520

8333 Naab Rd
Ste 420
Indianapolis, IN 46260
Phone (317) 338-6666

2485 N Lebanon St
Lebanon, IN 46052
Phone (765) 482-4098

2084 Hospital Dr
Martinsville, IN 46151
Phone (765) 349-9429

90 W 86th Ave
Merrillville, IN 46410
Phone (219) 791-1555

Interoperability endpoints

  • Direct secure messaging: arandolph58233@direct.acumenmd.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: aprice234096@ecommunitydirect.com

Organizations & group practices 8

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 3

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

NPI Registry JSON

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

{
    "created_epoch": "1486166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1922546464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5510 S EAST ST STE H",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462271939",
            "telephone_number": "317-924-8425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10590 N MERIDIAN ST",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "462901028",
            "telephone_number": "317-338-6666",
            "fax_number": "317-338-6066"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7150 Clearvista Dr",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462561695",
            "country_code": "US",
            "telephone_number": "317-621-5719",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5510 S East St Ste H",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462271939",
            "country_code": "US",
            "telephone_number": "317-924-8425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RANDOLPH",
        "first_name": "ALYSSA",
        "middle_name": "M",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-04",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71007267A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300004667",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "credentialing@nephdocs.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "120 W 22nd St Ste 200",
            "city": "Oak Brook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605231563",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

Verify at the official NPI Registry.