Randolph Aguayo, APRN ACNPC-AG - Medicare Nurse Practitioner in Waco, TX

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Randolph Aguayo, APRN ACNPC-AG is a medicare enrolled "Nurse Practitioner" in Waco, Texas. His current practice location is 100 Hillcrest Medical Blvd, Waco, Texas. You can reach out to his office (for appointments etc.) via phone at (254) 202-2000.

Randolph Aguayo is licensed to practice in Texas (license number 1207834) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1174343685.

Contact Information

Randolph Aguayo, APRN ACNPC-AG
100 Hillcrest Medical Blvd,
Waco, TX 76712-8897
(254) 202-2000
Not Available

Map and Direction




Provider's Profile

Full NameRandolph Aguayo
GenderMale
SpecialityNurse Practitioner
Location100 Hillcrest Medical Blvd, Waco, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1174343685
  • Provider Enumeration Date: 10/10/2024
  • Last Update Date: 08/25/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 9638692122
  • Enrollment ID: I20250325002892

Medical Identifiers

Medical identifiers for Randolph Aguayo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174343685NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 1207834 (Texas)Primary
363LA2100XNurse Practitioner - Acute Care 10034043 (Oregon)Secondary
363LC0200XNurse Practitioner - Critical Care Medicine 10034043 (Oregon)Secondary

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. Randolph Aguayo allows following entities to bill medicare on his behalf.
Entity NameTuality Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073929782
PECOS PAC ID: 7416173414
Enrollment ID: O20140729000238

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. Randolph Aguayo 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
Randolph Aguayo, APRN ACNPC-AG
Po Box 844658,
Dallas, TX 75284-4658

Ph: (254) 724-2111		Randolph Aguayo, APRN ACNPC-AG
100 Hillcrest Medical Blvd,
Waco, TX 76712-8897

Ph: (254) 202-2000

Reviews and Comments


Nurse Practitioner Nurses in Waco, TX

Leslie P Smith, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1800 Gurley Lane, Waco, TX 76706
Phone: 254-313-6000    Fax: 254-313-4531
Tyler Adam Brown,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 120 Hillcrest Medical Blvd Ste 200, Waco, TX 76712
Phone: 877-724-5437    
Eidel Nerli Adams,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 6901 Medical Pkwy, Waco, TX 76712
Phone: 254-751-4000    
Karen Church, APRN, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 611 W Hwy 6 Ste 101, Waco, TX 76710
Phone: 254-755-4582    
Emily Heeringa, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 100 Hillcrest Medical Blvd, Waco, TX 76712
Phone: 254-202-2000    
Jared Blake Griffin, NNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 100 Hillcrest Medical Blvd, Waco, TX 76712
Phone: 254-202-2900    
Dallas Leigh Upchurch,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 345 Owen Ln Ste 144a, Waco, TX 76710
Phone: 254-300-4072    Fax: 254-362-2064

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.