RANDOLPH GARRETT TOLLEY FNP-C
NPI 1124718796
Nurse Practitioner - Family in Corpus Christi, TX

Active since May 08, 2023PECOS EnrolledAccepts Medicare Assignment
14254 S PADRE ISLAND DR, CORPUS CHRISTI, TX 78418(615) 894-0683 Get Directions Write a Review

NPPES record last updated: May 8, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Randolph Garrett Tolley Fnp-c NPPES

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

RANDOLPH GARRETT TOLLEY FNP-C (NPI 1124718796) is an individual family provider in Corpus Christi, Texas, licensed in Texas (1066222) and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1124718796
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameRANDOLPH GARRETT TOLLEYCredential: FNP-C
Location Address14254 S PADRE ISLAND DRCorpus Christi, TX 78418-6277
Mailing Address6706 Samba DrCorpus Christi, TX 78414-6453 · (910) 207-3564
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMay 8, 2023
NPPES CertifiedMay 8, 2023
NPI 1124718796 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 TX · 1066222
14254 S PADRE ISLAND DR, Corpus Christi, TX 78418

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

Randolph Garrett Tolley Fnp-c 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 ID5092172346
PECOS Enrollment IDI20230601002086
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78418 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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 2

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

Nurse Practitioner (Family)
14254 S PADRE ISLAND DR
CORPUS CHRISTI, TX 78418
Nurse Practitioner (Family)
14254 S PADRE ISLAND DR
CORPUS CHRISTI, TX 78418

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 Randolph Tolley's NPI number?

The NPI number for Randolph Tolley is 1124718796. It was assigned to this individual provider in the NPPES registry on May 8, 2023.

Where is Randolph Tolley located?

Randolph Tolley practices at 14254 S Padre Island Dr, Corpus Christi, TX 78418. The listed phone number is (615) 894-0683.

What is Randolph Tolley's specialty?

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

Is Randolph Tolley enrolled in Medicare?

Yes. Randolph Tolley 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 Randolph Tolley accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Randolph Tolley 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 Randolph Tolley was last updated on May 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.