DR. RANDEE LYNE NICHOLAS D.O.
NPI 1033134069
Family Medicine in Tucson, AZ
About Dr. Randee Lyne Nicholas D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. RANDEE LYNE NICHOLAS D.O. (NPI 1033134069) is an individual family medicine provider in Tucson, Arizona, licensed in Arizona (3463) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Randee Lyne Nicholas D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Randee Nicholas reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Newport, NH 03773
- Reassigned Medicare billing, New Hampshire enrollment
- 219 clinicians in this Medicare group
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 85711 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Randee Nicholas's NPI number?
The NPI number for Randee Nicholas is 1033134069. It was assigned to this individual provider in the NPPES registry on July 12, 2006.
Where is Randee Nicholas located?
Randee Nicholas practices at 5100 E Broadway Blvd, Tucson, AZ 85711. The listed phone number is (210) 787-6442.
What is Randee Nicholas's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Randee Nicholas enrolled in Medicare?
Yes. Randee Nicholas is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Randee Nicholas's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Randee Nicholas reassigns Medicare benefits to The New London Hospital Association, Inc. (Newport, NH). 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 Randee Nicholas'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 Randee Nicholas was last updated on January 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.
# Dr. Randee Lyne Nicholas, D.O. · NPI 1033134069
Family Medicine physician in Tucson, Arizona. Individual provider, active in the CMS NPPES registry since July 12, 2006.
## Identity
- **NPI:** 1033134069 (Entity type: Individual)
- **Enumerated:** July 12, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 3463 (Arizona)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 5100 E BROADWAY BLVD, Tucson, AZ 85711-3762
- **Phone:** (210) 787-6442
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** The New London Hospital Association, Inc. (NPI 1770684672, Newport, NH), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 29, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1033134069) · Data from the CMS NPPES public registry.