RANDI DOWNTON
NPI 1306687827
Nurse Practitioner - Family in Lima, OH

Active since June 06, 2024PECOS EnrolledAccepts Medicare Assignment
2195 ALLENTOWN RD, LIMA, OH 45805(419) 227-2245 Get Directions Write a Review

NPPES record last updated: September 18, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 18, 2024, Jun 6, 2024 (2 updates tracked since 2024).

About Randi Downton NPPES

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

RANDI DOWNTON (NPI 1306687827) is an individual family provider in Lima, Ohio, licensed in Ohio (APRN.CNP.0036466) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS, is affiliated with Mercy Health-st Rita's Medical Center, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1306687827
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameRANDI DOWNTON
Location Address2195 ALLENTOWN RDLima, OH 45805-1705
Mailing Address2195 Allentown RdLima, OH 45805-1705
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJune 6, 2024
Last NPPES UpdateSeptember 18, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2024
NPI 1306687827 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.0036466
2195 ALLENTOWN RD, Lima, OH 45805

Accepted 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

Randi Downton 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 ID2567995616
PECOS Enrollment IDI20241028001803
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

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

Mercy Health-St Rita's Medical Center

Acute Care Hospitals · Lima, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360066
Location730 West Market StreetLima, OH 45801 · Allen County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45805 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 15

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

Nurse Practitioner (Family)
2195 ALLENTOWN RD
LIMA, OH 45805
General Practice
2195 ALLENTOWN RD
LIMA, OH 45805
Emergency Medicine (Emergency Medical Services)
2195 ALLENTOWN RD
LIMA, OH 45805
Nurse Practitioner (Family)
2195 ALLENTOWN RD
LIMA, OH 45805
Nurse Practitioner (Family)
2195 ALLENTOWN RD
LIMA, OH 45805
Family Medicine
2195 ALLENTOWN RD
LIMA, OH 45805
Nurse Practitioner (Family)
2195 ALLENTOWN RD
LIMA, OH 45805
Nurse Practitioner (Family)
2195 ALLENTOWN RD
LIMA, OH 45805

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 Randi Downton's NPI number?

The NPI number for Randi Downton is 1306687827. It was assigned to this individual provider in the NPPES registry on June 6, 2024.

Where is Randi Downton located?

Randi Downton practices at 2195 Allentown Rd, Lima, OH 45805. The listed phone number is (419) 227-2245.

What is Randi Downton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Randi Downton enrolled in Medicare?

Yes. Randi Downton 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 Randi Downton accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Antidote Health Plan of Ohio, Inc. and 3 other insurers list Randi Downton 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 Randi Downton affiliated with any hospitals?

According to CMS data, Randi Downton is affiliated with Mercy Health-St Rita's Medical Center.

When was this NPI record last updated?

The NPPES record for Randi Downton was last updated on September 18, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.