MARISSA RANDALL CNP
NPI 1194584128
Nurse Practitioner - Family in Westerville, OH

Q: What is Marissa Randall's NPI number?

The NPI number for Marissa Randall is 1194584128. It was assigned to this individual provider in the NPPES registry on March 13, 2024.

Q: What is Marissa 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 Marissa Randall was last updated on March 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 March 13, 2024

620 S CLEVELAND AVE, WESTERVILLE, OH 43081(614) 891-9771 Get Directions Write a Review

NPPES record last updated: March 13, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Marissa Randall Cnp NPPES

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

MARISSA RANDALL CNP (NPI 1194584128) is an individual family provider in Westerville, Ohio, licensed in Ohio (APRN.CNP.0034974) and active in the NPI registry since March 2024.

NPPES Registry Identity

NPI1194584128

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMARISSA RANDALLCredential: CNP

Location Address620 S CLEVELAND AVEWesterville, OH 43081-8970

Mailing Address4612 Commons Park DrNew Albany, OH 43054-8758 · (419) 376-0878

Phone(614) 891-9771

Sole ProprietorNo

Enumeration DateMarch 13, 2024

NPPES CertifiedMarch 13, 2024

✔ NPI 1194584128 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 OH · APRN.CNP.0034974

620 S CLEVELAND AVE, Westerville, OH 43081

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Areas of Expertise CMS Part B claims

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

17 services17 patients

Other Providers at the Same Location NPPES 12

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

ERIK E SMITH RPH

Pharmacist