| Cori Lynn Randall, FNP-C | |
|
612 Center Ave N, Ashley, ND 58413-7013 | |
| (701) 288-3433 | |
| Not Available |
| Full Name | Cori Lynn Randall |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 8 Years |
| Location | 612 Center Ave N, Ashley, North Dakota |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083182174 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | R29524 (North Dakota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ashley Medical Center | Ashley, ND | Hospital |
| Avera St Lukes | Aberdeen, SD | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ashley Medical Center | 8628981834 | 8 |
| Entity Name | Ashley Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851335830 PECOS PAC ID: 8628981834 Enrollment ID: O20040423001213 |
| Entity Name | St Lukes Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184737231 PECOS PAC ID: 4486565645 Enrollment ID: O20040423001224 |
| Entity Name | St Lukes Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1215942032 PECOS PAC ID: 4486565645 Enrollment ID: O20100929000438 |
| Entity Name | Signify Health Medical Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20200303000565 |
| Mailing Address | Practice Location Address |
|---|---|
| Cori Lynn Randall, FNP-C 10710 Rose Dr, Bismarck, ND 58503-9716 Ph: (701) 471-3111 | Cori Lynn Randall, FNP-C 612 Center Ave N, Ashley, ND 58413-7013 Ph: (701) 288-3433 |
Tara Harding, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 612 Center Ave N, Ashley, ND 58413 Phone: 701-288-3448 Fax: 701-288-3213 |