Teresa N Randolph, APRN - Medicare Nurse Practitioner in Pineville, MO

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Teresa N Randolph, APRN is a medicare enrolled "Nurse Practitioner - Family" in Pineville, Missouri. Her current practice location is 220 Stage Coach Dr, Pineville, Missouri. You can reach out to her office (for appointments etc.) via phone at (479) 790-8505.

Teresa N Randolph is licensed to practice in Arkansas (license number A003603) 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 1326071176.

Contact Information

Teresa N Randolph, APRN
220 Stage Coach Dr,
Pineville, MO 64856
(479) 790-8505
(479) 587-1366

Map and Direction




Provider's Profile

Full NameTeresa N Randolph
GenderFemale
SpecialityNurse Practitioner - Family
Location220 Stage Coach Dr, Pineville, Missouri
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1326071176
  • Provider Enumeration Date: 07/07/2006
  • Last Update Date: 04/10/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0446201925
  • Enrollment ID: I20230211000075

Medical Identifiers

Medical identifiers for Teresa N Randolph such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1326071176NPI-NPPES
0087036OtherOKARNP LICENSE
200048950AMedicaidOK

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 87036 (Oklahoma)Secondary
363LF0000XNurse Practitioner - Family 45975 (Kansas)Secondary
363LF0000XNurse Practitioner - Family A003603 (Arkansas)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. Teresa N Randolph allows following entities to bill medicare on her behalf.
Entity NameIntermountain Medical Group Grand Junction, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356765556
PECOS PAC ID: 3779707856
Enrollment ID: O20140611000363

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. Teresa N 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
Teresa N Randolph, APRN
3901 Parkway Cir,
Springdale, AR 72762-6362

Ph: (479) 587-1700		Teresa N Randolph, APRN
220 Stage Coach Dr,
Pineville, MO 64856

Ph: (479) 790-8505

Reviews and Comments


Nurse Practitioner Nurses in Pineville, MO

Judith G Lewallen, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 100 Jessie James Blvd, Pineville, MO 64856
Phone: 417-223-7050    Fax: 417-223-7055
Angela R Bridges, NP-CO
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 5265 S Business Highway 71 Ste J&i, Pineville, MO 64856
Phone: 417-223-4290    Fax: 417-223-4299
Jill Rogers,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 5265 S Business Highway 71 Ste I&j, Pineville, MO 64856
Phone: 417-223-4290    Fax: 417-223-4299

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.