MS. JENNIFER CATHERINE RANDALL FNP
NPI 1124631908
Nurse Practitioner - Family in Reston, VA

Q: What is Jennifer Randall's NPI number?

The NPI number for Jennifer Randall is 1124631908. It was assigned to this individual provider in the NPPES registry on August 31, 2020.

Q: What is Jennifer Randall'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 Jennifer Randall was last updated on February 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since August 31, 2020PECOS Enrolled

52.89/100

CMS Quality Rating

11800 SUNRISE VALLEY DR STE 700, RESTON, VA 20191(703) 834-1473(703) 318-7463 Get Directions Write a Review

NPPES record last updated: February 2, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 2, 2021, Aug 31, 2020 (2 updates tracked since 2020).

On this page

About Ms. Jennifer Catherine Randall Fnp NPPES

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

MS. JENNIFER CATHERINE RANDALL FNP (NPI 1124631908) is an individual family provider in Reston, Virginia, licensed in Virginia (0024179577) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Reston.

NPPES Registry Identity

NPI1124631908

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMS. JENNIFER CATHERINE RANDALLCredential: FNP

Location Address11800 SUNRISE VALLEY DR STE 700Reston, VA 20191-5315

Mailing AddressPo Box 37189Baltimore, MD 21297-3189 · (571) 423-5699 · Fax (571) 423-5698

Phone(703) 834-1473

Fax(703) 318-7463

Sole ProprietorNo

Enumeration DateAugust 31, 2020

Last NPPES UpdateFebruary 2, 20212 updates tracked since enumeration

NPPES CertifiedFebruary 2, 2021

✔ NPI 1124631908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LF0000X

License✔ Licensed in VA · 0024179577

11800 SUNRISE VALLEY DR STE 700, Reston, VA 20191

Open in Google Maps ↗

Secondary Practice Location 1

Location 11860 Town Center Dr Ste 310Reston, VA 20190-5899 · Phone (703) 738-9989

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Jennifer Catherine Randall Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Jennifer Randall reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Inova Physician Partners, LLC

5.5 mi

Family Medicine

3914 CENTREVILLE RD, SUITE 250
Chantilly, VA 20151

Reassigned Medicare billing, District of Columbia enrollment
379 clinicians in this Medicare group

NPI 1215264916 (703) 321-2609

True North Health Navigation LLC

1,474 mi

Emergency Medicine

3825 N LAFAYETTE ST
Denver, CO 80205

Reassigned Medicare billing, District of Columbia and Virginia enrollments
81 clinicians in this Medicare group

NPI 1740622133 (303) 500-1518

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 10

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.

Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes 99342

A new patient home visit is a 30-minute appointment where a healthcare provider comes to your home to assess your health needs. This can include discussing your medical history, current conditions, and treatment plans. It's a convenient way to receive care in your own environment.

73 services73 patients

Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348

An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.

50 services48 patients

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349

An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.

26 services25 patients

Blood test, basic group of blood chemicals (calcium, ionized) 80047

A basic group of blood chemicals test, including calcium and ionized, is a simple procedure where a small amount of blood is drawn from your arm. This test helps assess your body's overall health and detect potential disorders like kidney disease or bone disease.

23 services23 patients

Red blood cell concentration measurement 85014

Red blood cell concentration measurement is a routine blood test that assesses the number of red blood cells in your blood. These cells carry oxygen throughout your body. The test can help identify conditions like anemia or dehydration. It's a simple, quick, and relatively painless procedure.

23 services23 patients

Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes 99344

A new patient home visit is a comprehensive service where a healthcare professional visits your home for about an hour. This visit includes an overall health assessment, discussion about your medical history, and planning for future healthcare needs. The goal is to understand your health status and provide personalized care.

21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20191 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

$100.31 typical visit price

range $65.18 – $194.86

Typical copayment $25.07 (range $16.29 – $48.71)

Most-billed visit code 99203

Established Patient

$113.72 typical visit price

range $21.40 – $158.88

Typical copayment $28.43 (range $5.35 – $39.72)

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.

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.

52.89/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

45.53

Improvement Activities

Cost

23.24

Other Providers at the Same Location NPPES 11

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

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Physician Assistant