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KEIRA RANDALL NP
NPI 1003658428
Nurse Practitioner - Adult Health in St Petersburg, FL

Active since June 07, 2024PECOS Enrolled
7901 4TH ST N # 28048, ST PETERSBURG, FL 33702(352) 596-1339 Get Directions Write a Review

NPPES record last updated: March 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 13, 2026, Jun 7, 2024 (2 updates tracked since 2024).

About Keira Randall Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEIRA RANDALL NP (NPI 1003658428) is an individual adult health provider in St Petersburg, Florida, licensed in Florida (11033257) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003658428
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameKEIRA RANDALLCredential: NP
Location Address7901 4TH ST N # 28048St Petersburg, FL 33702-4305
Mailing Address37689 Leafside LnZephyrhills, FL 33541-3804 · (813) 606-8110
Phone(352) 596-1339
Sole ProprietorYes
Enumeration DateJune 7, 2024
Last NPPES UpdateMarch 13, 20262 updates tracked since enumeration
NPPES CertifiedMarch 13, 2026
✔ NPI 1003658428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in FL · 11033257
7901 4TH ST N # 28048, St Petersburg, FL 33702
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Keira Randall Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Keira Randall reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Fitmate Medical Group P.A.
205 mi
Obesity Medicine
115 N CALHOUN ST STE 4
Tallahassee, FL 32301
  • Reassigned Medicare billing, Florida enrollment
  • 2 clinicians in this Medicare group
NPI 1285511477 (350) 203-9425

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33702 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keira Randall's NPI number?

The NPI number for Keira Randall is 1003658428. It was assigned to this individual provider in the NPPES registry on June 7, 2024.

Where is Keira Randall located?

Keira Randall practices at 7901 4th St N # 28048, St Petersburg, FL 33702. The listed phone number is (352) 596-1339.

What is Keira Randall's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Keira Randall enrolled in Medicare?

Yes. Keira Randall is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Keira Randall's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Keira Randall reassigns Medicare benefits to Fitmate Medical Group P.A. (Tallahassee, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Keira Randall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Keira Randall was last updated on March 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.