RANDI PUCELY
NPI 1043682255
Nurse Practitioner - Family in San Diego, CA
About Randi Pucely NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RANDI PUCELY (NPI 1043682255) is an individual family provider in San Diego, California, licensed in California (95006465) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in San Diego.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Randi Pucely is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Randi Pucely reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
El Cajon, CA 92020
- Reassigned Medicare billing, California enrollment
- 212 clinicians in this Medicare group
Eureka, IL 61530
- Reassigned Medicare billing, Illinois enrollment
- 4,870 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 92123 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN DIEGO, CA 92123
SAN DIEGO, CA 92123
SAN DIEGO, CA 92123
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 Randi Pucely's NPI number?
The NPI number for Randi Pucely is 1043682255. It was assigned to this individual provider in the NPPES registry on October 27, 2015.
Where is Randi Pucely located?
Randi Pucely practices at 3020 Childrens Way, San Diego, CA 92123. The listed phone number is (858) 966-8036.
What is Randi Pucely's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Randi Pucely enrolled in Medicare?
Yes. Randi Pucely is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Randi Pucely's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Randi Pucely reassigns Medicare benefits to 2 organizations: Minuteclinic Diagnostic Medical Group Of San Diego Inc (El Cajon, CA) and Advocate Health And Hospitals Corp. (Eureka, IL). Each 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 Randi Pucely's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Randi Pucely accept?
Health plans from Oscar Health list Randi Pucely as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Randi Pucely was last updated on November 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.
# Randi Pucely · NPI 1043682255
Family physician in San Diego, California. Individual provider, active in the CMS NPPES registry since October 27, 2015.
## Identity
- **NPI:** 1043682255 (Entity type: Individual)
- **Enumerated:** October 27, 2015
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95006465 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 3020 CHILDRENS WAY, San Diego, CA 92123-4223
- **Phone:** (858) 966-8036
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Minuteclinic Diagnostic Medical Group Of San Diego Inc (NPI 1568659233, El Cajon, CA); Advocate Health And Hospitals Corp. (NPI 1295066983, Eureka, IL) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 29, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1043682255) · Data from the CMS NPPES public registry.