DR. JESSICA VERNOLA RANDOLPH DPM
NPI 1053788000
Podiatrist - Foot & Ankle Surgery in Glendale, AZ

Active since August 25, 2015PECOS EnrolledAccepts Medicare Assignment
6677 W THUNDERBIRD RD STE J171, GLENDALE, AZ 85306(623) 226-5442 Get Directions Write a Review

NPPES record last updated: April 15, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Sep 12, 2024, Apr 24, 2024, Oct 9, 2023 and 1 more (4 updates tracked since 2018).

About Dr. Jessica Vernola Randolph Dpm NPPES

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

DR. JESSICA VERNOLA RANDOLPH DPM (NPI 1053788000) is an individual foot & ankle surgery provider in Glendale, Arizona, licensed in Arizona (POD-000891) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1053788000
Entity TypeIndividualFemale
Primary Taxonomy213ES0103X
Provider Legal NameDR. JESSICA VERNOLA RANDOLPHCredential: DPM
Location Address6677 W THUNDERBIRD RD STE J171Glendale, AZ 85306-3703
Mailing Address6635 W Happy Valley Rd Ste A104-276Glendale, AZ 85310-2609 · (623) 330-0279 · Fax (480) 383-6308
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateAugust 25, 2015
Last NPPES UpdateApril 15, 20254 updates tracked since enumeration
NPPES CertifiedApril 15, 2025
NPI 1053788000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License Licensed in AZ · POD-000891
Also ListedPodiatristTaxonomy 213E00000X · License POD-000891 (AZ)
6677 W THUNDERBIRD RD STE J171, Glendale, AZ 85306

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Jessica Vernola Randolph Dpm is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9133477581
PECOS Enrollment IDI20180801003328
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.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
195 services23 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
137 services38 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
125 services19 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
33 services26 patients
Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
30 services19 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
29 services17 patients

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Podiatrist
6677 W THUNDERBIRD RD STE J171
GLENDALE, AZ 85306

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 Jessica Randolph's NPI number?

The NPI number for Jessica Randolph is 1053788000. It was assigned to this individual provider in the NPPES registry on August 25, 2015.

Where is Jessica Randolph located?

Jessica Randolph practices at 6677 W Thunderbird Rd Ste J171, Glendale, AZ 85306. The listed phone number is (623) 226-5442.

What is Jessica Randolph's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Jessica Randolph enrolled in Medicare?

Yes. Jessica Randolph is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jessica Randolph accept?

Health plans from Oscar Health Plan, Inc. list Jessica Randolph 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 Jessica Randolph was last updated on April 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.