VALERIA NICOLE RANDLE APRN
NPI 1043023500
Nurse Practitioner - Psychiatric/Mental Health in Live Oak, FL

Active since January 29, 2025PECOS Enrolled
807 WALKER AVE NW, LIVE OAK, FL 32064(386) 364-8775 Get Directions Write a Review

NPPES record last updated: January 29, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Valeria Nicole Randle Aprn NPPES

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

VALERIA NICOLE RANDLE APRN (NPI 1043023500) is an individual psychiatric/mental health provider in Live Oak, Florida, licensed in Florida (APRN11035753) and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1043023500
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameVALERIA NICOLE RANDLECredential: APRN
Location Address807 WALKER AVE NWLive Oak, FL 32064-4610
Mailing Address807 Walker Ave NwLive Oak, FL 32064-4610 · (386) 364-8775
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateJanuary 29, 2025
NPPES CertifiedJanuary 29, 2025
✔ NPI 1043023500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in FL · APRN11035753
807 WALKER AVE NW, Live Oak, FL 32064

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Valeria Nicole Randle Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7012476526
PECOS Enrollment IDI20260825004636
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 Valeria Randle reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health (Including Community Mental Health Center)
165 SW VISION GLN
Lake City, FL 32025
  • Reassigned Medicare billing, Florida enrollment
  • 10 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 32064 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 Valeria Randle's NPI number?

The NPI number for Valeria Randle is 1043023500. It was assigned to this individual provider in the NPPES registry on January 29, 2025.

Where is Valeria Randle located?

Valeria Randle practices at 807 Walker Ave NW, Live Oak, FL 32064. The listed phone number is (386) 364-8775.

What is Valeria Randle's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Valeria Randle enrolled in Medicare?

Yes. Valeria Randle is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Valeria Randle's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Valeria Randle reassigns Medicare benefits to Oasis Of Hope Therapy LLC (Lake City, 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 Valeria Randle'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 Valeria Randle 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.