ASHANTA S RANDOLPH FNP
NPI 1194301515
Nurse Practitioner - Family in Houston, TX

Q: What is Ashanta Randolph's NPI number?

The NPI number for Ashanta Randolph is 1194301515. It was assigned to this individual provider in the NPPES registry on March 24, 2021.

Q: What is Ashanta Randolph'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 Ashanta Randolph was last updated on January 3, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 24, 2021PECOS EnrolledAccepts Medicare Assignment

4700 W SAM HOUSTON PKWY N STE 220, HOUSTON, TX 77041(713) 402-7824(713) 570-0196 Get Directions Write a Review

NPPES record last updated: January 3, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 3, 2023, Aug 3, 2021, Mar 24, 2021 (3 updates tracked since 2021).

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About Ashanta S Randolph Fnp NPPES

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

ASHANTA S RANDOLPH FNP (NPI 1194301515) is an individual family provider in Houston, Texas, licensed in Texas (1032753) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1194301515

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameASHANTA S RANDOLPHCredential: FNP

Location Address4700 W SAM HOUSTON PKWY N STE 220Houston, TX 77041-8224

Mailing Address602 W Grand Pkwy SKaty, TX 77494-8328

Phone(713) 402-7824

Fax(713) 570-0196

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateMarch 24, 2021

Last NPPES UpdateJanuary 3, 20233 updates tracked since enumeration

NPPES CertifiedJanuary 3, 2023

✔ NPI 1194301515 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 · 1032753

4700 W SAM HOUSTON PKWY N STE 220, Houston, TX 77041

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Other Names 1

Former Name (1)Ashanta S Parker

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.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

Ashanta S Randolph Fnp 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 ID1759779655

PECOS Enrollment IDI20211026002214

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 77041 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

$90.40 typical visit price

range $58.24 – $176.98

Typical copayment $22.60 (range $14.56 – $44.24)

Most-billed visit code 99203

Established Patient

$102.71 typical visit price

range $18.60 – $143.93

Typical copayment $25.67 (range $4.65 – $35.98)

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 20

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

GWENDOLYN S BLACK FNP-BC

Nurse Practitioner (Family)