Individual provider Active NPI

Randi Michelle Herman, FNP-C

  • Family Nurse Practitioner
  • Buckeye, AZ
National Provider Identifier
1962947770
Registry record updated Feb 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP9870 Issued in AZ
Practice address
20751 W Market St
Buckeye, AZ 85396-7893
Phone
(623) 463-5000
NPI assigned
Jan 3, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN153699 AZ
Family Nurse Practitioner 363LF0000X AP9870 AZ Primary

Addresses

Primary practice location

20751 W Market St
Buckeye, AZ 85396-7893

Mailing address

20751 W Market St
Buckeye, AZ 85396-7893
Phone (623) 463-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20170224001640 AZ Practitioner - Nurse Practitioner 4688958325 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Banner Primary Care Physicians Arizona LLCGroup PAC ID 6406020155, 236 clinicians

Practice addresses (Care Compare)

20751 W Market St
Buckeye, AZ 85396-7893
Phone (623) 463-5000

Hospital & facility affiliations

  • Banner del E. Webb Medical Center Hospital, Sun City West, AZ, CCN 030093

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN153699AZMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Primary Care Physicians Arizona LLC CurrentSince Mar 1, 2020 Accepting new patients
Banner Childrens Banner Health Clinic LLC CurrentSince Jan 11, 2021 Accepting new patients
Banner Childrens Banner Health Clinic LLC CurrentSince Jan 11, 2021 Accepting new patients
Banner Primary Care Physicians Arizona LLC CurrentSince Mar 1, 2020 Accepting new patients
Banner Primary Care Physicians Arizona LLC Current Accepting new patients
Banner Primary Care Physicians Arizona LLC Past Accepting new patients

Locations

20751 W Market St
Buckeye, AZ 85396
Phone (623) 463-5000

1800 N Civic Sq
Ste 200
Goodyear, AZ 85395
Phone (623) 465-6506

1800 N Civic Sq
Ste 320
Goodyear, AZ 85395
Phone (623) 465-6506

1800 N Civic Sq
Ste 220
Goodyear, AZ 85395
Phone (623) 465-6506

9780 S Estrella Pkwy
Goodyear, AZ 85338
Phone (623) 474-8101

4860 N Litchfield Rd
Ste 102
Litchfield Park, AZ 85340
Phone (602) 774-1695

17900 N Porter Rd
Maricopa, AZ 85138
Phone (520) 233-2500

1450 S Dobson Rd
Ste B220
Mesa, AZ 85202
Phone (480) 827-5044

13640 N Plaza del Rio Blvd
Peoria, AZ 85381
Phone (623) 876-3800

14416 W Meeker Blvd
Sun City West, AZ 85375
Phone (623) 583-5083

Organizations & group practices 6

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 1

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": "1483401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485907200000",
    "number": "1962947770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20751 W MARKET ST",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853967893",
            "telephone_number": "623-463-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20751 W MARKET ST",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853967893",
            "telephone_number": "623-463-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERMAN",
        "first_name": "RANDI",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-03",
        "last_updated": "2017-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN153699",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP9870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buckeye, AZ

Sources for this page

Verify at the official NPI Registry.