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BLAKE RANDOLPH NP-C
NPI 1295382786
Nurse Practitioner in Reinbeck, IA

Active since August 20, 2019PECOS EnrolledAccepts Medicare Assignment
604 WEST ST, REINBECK, IA 50669(319) 575-0180 Get Directions Write a Review

NPPES record last updated: August 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 3, 2025, May 1, 2023, May 7, 2020 and 2 more (5 updates tracked since 2019).

About Blake Randolph Np-c NPPES

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

BLAKE RANDOLPH NP-C (NPI 1295382786) is an individual nurse practitioner in Reinbeck, Iowa, licensed in Iowa (A156287) and active in the NPI registry since August 2019. He is enrolled in Medicare PECOS, is affiliated with Trinity Regional Medical Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1295382786
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameBLAKE RANDOLPHCredential: NP-C
Location Address604 WEST STReinbeck, IA 50669-1353
Mailing Address604 West StReinbeck, IA 50669-1353 · (319) 575-0180
Phone(319) 575-0180
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateAugust 20, 2019
Last NPPES UpdateAugust 21, 20255 updates tracked since enumeration
NPPES CertifiedAugust 21, 2025
✔ NPI 1295382786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IA · A156287
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.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License A156287 (IA)
604 WEST ST, Reinbeck, IA 50669
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Accepted Insurance

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

Blake Randolph Np-c 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 ID4880926955
PECOS Enrollment IDI20191023001966
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.

Areas of Expertise CMS Part B claims 5

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.
260 services233 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
61 services54 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
18 services17 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
16 services16 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Trinity Regional Medical Center

Acute Care Hospitals · Fort Dodge, IA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160016
Location802 Kenyon RdFort Dodge, IA 50501 · Webster County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50669 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
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.

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 Blake Randolph's NPI number?

The NPI number for Blake Randolph is 1295382786. It was assigned to this individual provider in the NPPES registry on August 20, 2019.

Where is Blake Randolph located?

Blake Randolph practices at 604 West St, Reinbeck, IA 50669. The listed phone number is (319) 575-0180.

What is Blake Randolph's specialty?

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

Is Blake Randolph enrolled in Medicare?

Yes. Blake 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 Blake Randolph accept?

Health plans from Medica list Blake 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 Blake Randolph affiliated with any hospitals?

According to CMS data, Blake Randolph is affiliated with Trinity Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Blake Randolph was last updated on August 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.