Kelley M Randolph, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

80032 Issued in KS

Practice address

2655 SW Wanamaker Rd Ste H
Topeka, KS 66614-4477

Phone

(785) 408-5228

Fax

(785) 783-8026

NPI assigned

Apr 16, 2019

Last updated

Nov 18, 2024By 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 1

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, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Midland Care Physician Services LLCGroup PAC ID 0446627202, 4 clinicians

Ps127Andjn434 LLCGroup PAC ID 3173702883, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Enhabit Home Health Home health agency, Topeka, KS, CCN 178069
• Elara Caring Home health agency, Topeka, KS, CCN 177242
• Stormont Vail Hospital Hospital, Topeka, KS, CCN 170086

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kbuell114142@stormontvaildirect.org
• Direct secure messaging: kelley.randolph.1@14729.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ps127&Jn434, LLC

  dba Vintage Medical Associates

  • Family Medicine Physician
  • Topeka, KS
  • NPI 1134420821
  Medicare reassignment Care Compare group NPD
• Midland Care Physician Services LLC

  • Multi-Specialty Clinic/Center
  • Topeka, KS
  • NPI 1194448548
  Medicare reassignment Care Compare group NPD (past)
• Cotton-O'Neil Clinic Revocable Trust

  dba Cotton O'Neil

  • Internal Medicine Physician
  • Topeka, KS
  • NPI 1811944457
  Medicare reassignment NPD
• Gracemed Health Clinic Inc

  • Federally Qualified Health Center (FQHC)
  • Wichita, KS
  • NPI 1184691693
  Medicare reassignment NPD
• Uk St Francis Urgent Care

  • Urgent Care Clinic/Center
  • Topeka, KS
  • NPI 1457970782
  Medicare reassignment
• Cotton-O'Neil Clinic Revocable Trust

  dba Stormont Vail Health DME

  • Durable Medical Equipment & Medical Supplies
  • Topeka, KS
  • NPI 1700076015
  NPD
• Gracemed Health Clinic, Inc

  dba GraceMed Downing Family Clinic

  • Federally Qualified Health Center (FQHC)
  • Wichita, KS
  • NPI 1043646870
  NPD

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

• Caregivers, Inc.

  dba Elara Caring

  • Home Health Agency
  • Topeka, KS
  • NPI 1851335129
  Care Compare affiliation
• Day-by-Day Staff Relief, LLC

  dba Enhabit Home Health

  • Home Health Agency
  • Topeka, KS
  • NPI 1891189155
  Care Compare affiliation
• Stormont-Vail Healthcare Inc

  dba Stormont Vail Hospital

  • General Acute Care Hospital
  • Topeka, KS
  • NPI 1194782409
  Care Compare affiliation

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

{
    "created_epoch": "1555372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1942863915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2655 SW WANAMAKER RD STE H",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666144477",
            "telephone_number": "785-354-9591",
            "fax_number": "785-783-8026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2655 SW WANAMAKER RD STE H",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666144477",
            "telephone_number": "785-408-5228",
            "fax_number": "785-783-8026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDOLPH",
        "first_name": "KELLEY",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-16",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "80032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer L Rand, APRN
• Lacey Randa, DDS
• Brenna C Randall, PT
• Lacy Randall, RN
• Kiran Randhawa
• Lucille Randolph
• David L Raney, LSCSW
• Patrick A Raney, MD
• Jackie Sue Rangel, LPN
• Shellie Rankin

• Nurse Practitioner in Topeka, KS
• Providers in Topeka, KS by specialty
• Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; 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.