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LESLEY ANN RANDOLL APRN
NPI 1104240035
Nurse Practitioner - Gerontology in Kissimmee, FL

Active since February 12, 2014
89.67/100
CMS Quality Rating
391 N MAIN ST, KISSIMMEE, FL 34744(407) 518-1074 Get Directions Write a Review

NPPES record last updated: April 28, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 28, 2021, Apr 20, 2021, Jan 13, 2020 and 1 more (4 updates tracked since 2019).

About Lesley Ann Randoll Aprn NPPES

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

LESLEY ANN RANDOLL APRN (NPI 1104240035) is an individual gerontology provider in Kissimmee, Florida, licensed in Florida (APRN11002450) and active in the NPI registry since February 2014. She maintains 3 additional practice locations.

NPPES Registry Identity

NPI1104240035
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameLESLEY ANN RANDOLLCredential: APRN
Location Address391 N MAIN STKissimmee, FL 34744-5271
Mailing Address391 N Main StKissimmee, FL 34744-5271 · (407) 518-1074
Phone(407) 518-1074
Sole ProprietorNo
Enumeration DateFebruary 12, 2014
Last NPPES UpdateApril 28, 20214 updates tracked since enumeration
NPPES CertifiedApril 28, 2021
✔ NPI 1104240035 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in FL · APRN11002450
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License APRN11002450 (FL)
Also ListedNurse Practitioner · Obstetrics & GynecologyTaxonomy 363LX0001X · License APRN11002450 (FL)
Also ListedClinical Nurse Specialist · Adult HealthTaxonomy 364SA2200X · License 2014003661 (MO)
Also ListedClinical Nurse Specialist · GerontologyTaxonomy 364SG0600X · License 2014003661 (MO)
391 N MAIN ST, Kissimmee, FL 34744
Open in Google Maps ↗

Secondary Practice Locations 3

Location 11611 S Baltimore StKirksville, MO 63501-4536 · Phone (660) 665-7575 · Fax (660) 665-7576
Location 2800 Hospital DrColumbia, MO 65201-5275 · Phone (573) 814-6000 ext. 53302
Location 3831 Simpson RdKissimmee, FL 34744-5328 · Phone (407) 483-5757 · Fax (407) 350-5291

Other Identifiers 2

OtherAPRN11002450FL · Board Of Nursing License
Other2014003661MO · Board Of Nursing License

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.

89.67/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality97.86
Promoting Interoperability100
Improvement Activities40
Cost67.71

Other Providers at the Same Location NPPES 4

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

MS. HEATHER J FOULKE CNM
Advanced Practice Midwife
391 N MAIN ST
KISSIMMEE, FL 34744
Osceola County (786) 453-9114
DR. KATHERINE BAUTISTA DRAVIAM DO
Obstetrics & Gynecology
391 N MAIN ST
KISSIMMEE, FL 34744
Osceola County (407) 518-1074
DR. ASHLEY CRAMER BYNO M.D.
Obstetrics & Gynecology
391 N MAIN ST
KISSIMMEE, FL 34744
Osceola County (407) 518-1993
BASHAR HANOOSHI M.D.
Obstetrics & Gynecology
391 N MAIN ST
KISSIMMEE, FL 34744
Osceola County (407) 518-1993

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 Lesley Randoll's NPI number?

The NPI number for Lesley Randoll is 1104240035. It was assigned to this individual provider in the NPPES registry on February 12, 2014.

Where is Lesley Randoll located?

Lesley Randoll practices at 391 N Main St, Kissimmee, FL 34744. The listed phone number is (407) 518-1074.

What is Lesley Randoll's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

When was this NPI record last updated?

The NPPES record for Lesley Randoll was last updated on April 28, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.