Jessica Charis Randolph, NP - Medicare Nurse Practitioner in Lakin, KS

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Jessica Charis Randolph, NP is a medicare enrolled "Nurse Practitioner - Family" in Lakin, Kansas. Her current practice location is 500 E Thorpe St, Lakin, Kansas. You can reach out to her office (for appointments etc.) via phone at (620) 355-7111.

Jessica Charis Randolph is licensed to practice in Kansas (license number 53-83783-011) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1548085038.

Contact Information

Jessica Charis Randolph, NP
500 E Thorpe St,
Lakin, KS 67860-9625
(620) 355-7111
Not Available

Map and Direction




Provider's Profile

Full NameJessica Charis Randolph
GenderFemale
SpecialityNurse Practitioner - Family
Location500 E Thorpe St, Lakin, Kansas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1548085038
  • Provider Enumeration Date: 11/19/2024
  • Last Update Date: 12/02/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 6608302567
  • Enrollment ID: I20241216002272

Medical Identifiers

Medical identifiers for Jessica Charis Randolph such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1548085038NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 206118 (Oklahoma)Secondary
363LF0000XNurse Practitioner - Family 53-83783-011 (Kansas)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jessica Charis Randolph allows following entities to bill medicare on her behalf.
Entity NameKearny County Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447221569
PECOS PAC ID: 0244148864
Enrollment ID: O20040419000655

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jessica Charis Randolph is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jessica Charis Randolph, NP
805 S Bouziden Dr,
Moore, OK 73160-7324

Ph: (620) 952-1546		Jessica Charis Randolph, NP
500 E Thorpe St,
Lakin, KS 67860-9625

Ph: (620) 355-7111

Reviews and Comments


Nurse Practitioner Nurses in Lakin, KS

Ginnie Lynn Rincones, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 506 E Thorpe St, Lakin, KS 67860
Phone: 620-355-7550    
Helen M Heinitz, A.R.N.P.
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 506 Thorpe St, Lakin, KS 67860
Phone: 620-355-7550    Fax: 620-355-7500

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.