BEVERLY JAN RANDLE F.N.P.
NPI 1184675134
Nurse Practitioner in Louisville, MS

Q: What is Beverly Randle's NPI number?

The NPI number for Beverly Randle is 1184675134. It was assigned to this individual provider in the NPPES registry on May 15, 2006.

Q: What is Beverly Randle's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Beverly Randle was last updated on July 7, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 15, 2006PECOS EnrolledAccepts Medicare Assignment

14724 HIGHWAY 15 N, LOUISVILLE, MS 39339(662) 773-7500 Get Directions Write a Review

NPPES record last updated: July 7, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 7, 2025, Mar 10, 2020 (2 updates tracked since 2020).

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About Beverly Jan Randle F.n.p. NPPES

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

BEVERLY JAN RANDLE F.N.P. (NPI 1184675134) is an individual nurse practitioner in Louisville, Mississippi, licensed in Mississippi (R652962) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Winston Medical Center & Swingbed, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1184675134

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameBEVERLY JAN RANDLECredential: F.N.P.

Location Address14724 HIGHWAY 15 NLouisville, MS 39339-6318

Mailing Address8613 Ms Highway 12Ackerman, MS 39735-8917 · (662) 285-9460

Phone(662) 773-7500

Sole ProprietorNo

Medical School CMSOtherGraduated 1997

Enumeration DateMay 15, 2006

Last NPPES UpdateJuly 7, 20252 updates tracked since enumeration

NPPES CertifiedJuly 2, 2025

✔ NPI 1184675134 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 MS · R652962

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.

14724 HIGHWAY 15 N, Louisville, MS 39339

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Other Identifiers 2

Medicaid000118926MS

Medicaid00118926MS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Plan, Inc., UnitedHealthcare.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

Beverly Jan Randle F.n.p. 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 ID8820045370

PECOS Enrollment IDI20050406000664

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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Winston Medical Center & Swingbed

Acute Care Hospitals · Louisville, MS

OwnershipVoluntary non-profit - Private

CMS Certification Number250027

Location17550 East Main StreetLouisville, MS 39339 · Winston County

Emergency services

Choctaw Regional Medical Center

Critical Access Hospitals · Ackerman, MS

OwnershipGovernment - Local

CMS Certification Number251334

Location8613 Ms Hwy 12Ackerman, MS 39735 · Choctaw County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39339 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

$80.50 typical visit price

range $51.65 – $159.18

Typical copayment $20.12 (range $12.91 – $39.79)

Most-billed visit code 99203

Established Patient

$92.20 typical visit price

range $16.15 – $129.61

Typical copayment $23.05 (range $4.03 – $32.40)

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.

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

3 suppliers30 claims75 services$5.46 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

3 suppliers17 claims21 services$1.00 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier14 claims14 services$6.51 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier12 claims12 services$109.33 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

2 suppliers16 claims1,199 services$0.03 avg. paid by Medicare

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

1 supplier15 claims450 services$0.82 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 8

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

DR. JAMES GLENN PETERS MD

Family Medicine