KIMBERLY M RANDOLPH APN
NPI 1144544982
Nurse Practitioner in Germantown, TN

Active since March 23, 2010PECOS EnrolledAccepts Medicare Assignment
3180 PROFESSIONAL PLZ, STE 111, GERMANTOWN, TN 38138(901) 854-5455(901) 861-7736 Get Directions Write a Review

NPPES record last updated: April 1, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kimberly M Randolph Apn NPPES

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

KIMBERLY M RANDOLPH APN (NPI 1144544982) is an individual nurse practitioner in Germantown, Tennessee, licensed in Tennessee (7234) and active in the NPI registry since March 2010. She is enrolled in Medicare PECOS and is a graduate of Other (1995).

NPPES Registry Identity

NPI1144544982
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKIMBERLY M RANDOLPHCredential: APN
Location Address3180 PROFESSIONAL PLZ, STE 111Germantown, TN 38138-1534
Mailing Address3180 Professional Plz, Ste 111Germantown, TN 38138-1534 · (901) 854-5455 · Fax (901) 861-7736
Fax(901) 861-7736
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateMarch 23, 2010
Last NPPES UpdateApril 1, 2021
NPPES CertifiedApril 1, 2021
NPI 1144544982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in TN · 7234
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
3180 PROFESSIONAL PLZ, Germantown, TN 38138

Other Identifiers 1

Medicaid1518380TN

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

Kimberly M Randolph Apn 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 ID8820128028
PECOS Enrollment IDI20100615000470
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 38138 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 16

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

Speech-Language Pathologist
3180 PROFESSIONAL PLZ
GERMANTOWN, TN 38138
Specialist
3180 PROFESSIONAL PLZ, SUITE 101
GERMANTOWN, TN 38138
Speech-Language Pathologist
3180 PROFESSIONAL PLZ
GERMANTOWN, TN 38138
Occupational Therapist
3180 PROFESSIONAL PLZ
GERMANTOWN, TN 38138
Speech-Language Pathologist
3180 PROFESSIONAL PLZ
GERMANTOWN, TN 38138
Speech-Language Pathologist
3180 PROFESSIONAL PLZ, SUITE 101
GERMANTOWN, TN 38138
Occupational Therapist (Pediatrics)
3180 PROFESSIONAL PLZ
GERMANTOWN, TN 38138
Speech-Language Pathologist
3180 PROFESSIONAL PLZ
GERMANTOWN, TN 38138

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 Kimberly Randolph's NPI number?

The NPI number for Kimberly Randolph is 1144544982. It was assigned to this individual provider in the NPPES registry on March 23, 2010.

Where is Kimberly Randolph located?

Kimberly Randolph practices at 3180 Professional Plz Ste 111, Germantown, TN 38138. The listed phone number is (901) 854-5455.

What is Kimberly Randolph's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Kimberly Randolph enrolled in Medicare?

Yes. Kimberly 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 Kimberly Randolph accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 5 other insurers list Kimberly 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 Kimberly Randolph was last updated on April 1, 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.