DANIELLE N RANDOLPH
NPI 1265243836
Nurse Practitioner - Family in Flint, MI
About Danielle N Randolph NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DANIELLE N RANDOLPH (NPI 1265243836) is an individual family provider in Flint, Michigan, licensed in Michigan (4704306887) and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS, is affiliated with Southeast Michigan Surgical Hospital Llc, and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Danielle N Randolph 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.
Medicare Billing Reassignments
3Medicare enrollment records show Danielle Randolph reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Flint, MI 48507
- Reassigned Medicare billing, Michigan enrollment
- 13 clinicians in this Medicare group
Flint, MI 48507
- Reassigned Medicare billing, Michigan enrollment
- 246 clinicians in this Medicare group
Dallas, TX 75244
- Reassigned Medicare billing, Michigan enrollment
- 666 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Southeast Michigan Surgical Hospital LLC
Acute Care Hospitals · Warren, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48504 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Danielle Randolph's NPI number?
The NPI number for Danielle Randolph is 1265243836. It was assigned to this individual provider in the NPPES registry on January 14, 2025.
Where is Danielle Randolph located?
Danielle Randolph practices at 5710 Clio Rd, Flint, MI 48504. The listed phone number is (810) 406-4246.
What is Danielle Randolph's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Danielle Randolph enrolled in Medicare?
Yes. Danielle 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.
Which organizations bill Medicare for Danielle Randolph's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Danielle Randolph reassigns Medicare benefits to 3 organizations: Insight Urgent Care PC (Flint, MI), Jawad A Shah, MD PC (Flint, MI) and Signify Health Medical Associates, PLLC (Dallas, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Danielle Randolph's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Danielle Randolph accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Priority Health list Danielle 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.
Is Danielle Randolph affiliated with any hospitals?
According to CMS data, Danielle Randolph is affiliated with Southeast Michigan Surgical Hospital LLC.
When was this NPI record last updated?
The NPPES record for Danielle Randolph was last updated on July 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.
# Danielle N Randolph · NPI 1265243836
Family physician in Flint, Michigan. Individual provider, active in the CMS NPPES registry since January 14, 2025.
## Identity
- **NPI:** 1265243836 (Entity type: Individual)
- **Enumerated:** January 14, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 4704306887 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 5710 CLIO RD, Flint, MI 48504-1525
- **Phone:** (810) 406-4246
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Insight Urgent Care PC (NPI 1548895550, Flint, MI); Jawad A Shah, MD PC (NPI 1942402391, Flint, MI); Signify Health Medical Associates, PLLC (NPI 1750845863, Dallas, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** July 23, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1265243836) · Data from the CMS NPPES public registry.