JESSICA LUANNE RANDOLPH FNP-BC
NPI 1073954400
Nurse Practitioner - Family in Cookeville, TN

Q: What is Jessica Randolph's NPI number?

The NPI number for Jessica Randolph is 1073954400. It was assigned to this individual provider in the NPPES registry on July 14, 2013.

Q: What is Jessica Randolph's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Randolph was last updated on March 5, 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.

Active since July 14, 2013PECOS EnrolledAccepts Medicare Assignment

128 N WHITNEY AVE, COOKEVILLE, TN 38501(931) 783-4600(931) 783-4699 Get Directions Write a Review

NPPES record last updated: March 5, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 5, 2025, Jul 25, 2023, May 26, 2022 and 2 more (5 updates tracked since 2018).

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About Jessica Luanne Randolph Fnp-bc NPPES

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

JESSICA LUANNE RANDOLPH FNP-BC (NPI 1073954400) is an individual family provider in Cookeville, Tennessee, licensed in Tennessee (17758) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS, maintains 5 additional practice locations, and is a graduate of University Of Tennessee, Hsc, College Of Medicine (2013).

NPPES Registry Identity

NPI1073954400

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJESSICA LUANNE RANDOLPHCredential: FNP-BC

Location Address128 N WHITNEY AVECookeville, TN 38501-2493

Mailing Address1275 Dick Lonas Rd Unit 101Knoxville, TN 37909-1383 · (865) 584-4747 · Fax (865) 381-1509

Phone(931) 783-4600

Fax(931) 783-4699

Sole ProprietorNo

Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 2013

Enumeration DateJuly 14, 2013

Last NPPES UpdateMarch 5, 20255 updates tracked since enumeration

NPPES CertifiedMarch 5, 2025

✔ NPI 1073954400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in TN · 17758

Also ListedNurse PractitionerTaxonomy 363L00000X · License 17758 (TN)

128 N WHITNEY AVE, Cookeville, TN 38501

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Secondary Practice Locations 5

Location 1438 N Whitney AveCookeville, TN 38501 · Phone (931) 783-2616 · Fax (931) 783-2610

Location 2135 Walker StSparta, TN 38583-1725 · Phone (931) 836-2201

Location 3115 Guffey StCelina, TN 38551 · Phone (931) 243-2651 · Fax (931) 243-3132

Location 44120 Bradford Hicks DrLivingston, TN 38570-2213 · Phone (931) 823-5603 · Fax (931) 403-0574

Location 5128 N Whitney AveCookeville, TN 38501-2493 · Phone (931) 783-4600

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jessica Luanne Randolph Fnp-bc 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 ID2668606120

PECOS Enrollment IDI20131016001064

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 Reassignments

Medicare enrollment records show Jessica Randolph reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cookeville Regional Medical Group, Inc

0.4 mi

Multi-Specialty

140 W 7TH ST
Cookeville, TN 38501

Reassigned Medicare billing, Tennessee enrollment
124 clinicians in this Medicare group

NPI 1649202102 (931) 783-5582

Summit Medical Group, PLLC

52 mi

Internal Medicine

1420 NORTH GATEWAY AVE
Rockwood, TN 37854

Reassigned Medicare billing, Tennessee enrollment
1,003 clinicians in this Medicare group

NPI 1568772754 (865) 354-7799

Crossroads Urgent Care PLLC

52 mi

Family Medicine

2445 MEMORIAL BLVD
Murfreesboro, TN 37129

Reassigned Medicare billing, Tennessee enrollment
310 clinicians in this Medicare group

NPI 1366644361 (615) 864-8713

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

Areas of Expertise CMS Part B claims 11

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.

Detection test by immunoassay with direct visual observation for influenza virus 87804

This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.

70 services34 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.

46 services42 patients

Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811

This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.

45 services44 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.

26 services25 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

24 services24 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

23 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38501 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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.

Other Providers at the Same Location NPPES 17

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

DR. CAROL FRANKLIN BERG MD

General Practice