BREANNA JOYCE ELLEN RANDOLPH PA-C
NPI 1336568690
Physician Assistant in Houston, TX

Active since April 15, 2014PECOS EnrolledAccepts Medicare Assignment
17270 RED OAK DR, SUITE 200, HOUSTON, TX 77090(281) 440-6960(281) 440-6205 Get Directions Write a Review

NPPES record last updated: April 15, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Breanna Joyce Ellen Randolph Pa-c NPPES

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

BREANNA JOYCE ELLEN RANDOLPH PA-C (NPI 1336568690) is an individual physician assistant in Houston, Texas, licensed in Texas (PA09038) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1336568690
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameBREANNA JOYCE ELLEN RANDOLPHCredential: PA-C
Location Address17270 RED OAK DR, SUITE 200Houston, TX 77090-2618
Mailing Address17270 Red Oak Dr, Suite 200Houston, TX 77090-2618 · (281) 440-6960 · Fax (281) 440-6205
Fax(281) 440-6205
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateApril 15, 2014
NPI 1336568690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in TX · PA09038
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

17270 RED OAK DR, Houston, TX 77090

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

Breanna Joyce Ellen Randolph Pa-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 ID1153545496
PECOS Enrollment IDI20140606001664
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

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 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.
17 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77090 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
$72.62 typical visit price
range $18.60 – $143.93
Typical copayment $18.15 (range $4.65 – $35.98)
Most-billed visit code 99213
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.

Physical Therapy Assistant
17270 RED OAK DR, 100
HOUSTON, TX 77090
Orthopaedic Surgery
17270 RED OAK DR, SUITE 200
HOUSTON, TX 77090
Occupational Therapist (Hand)
17270 RED OAK DR, SUITE 200
HOUSTON, TX 77090
Physician Assistant
17270 RED OAK DR, SUITE 200
HOUSTON, TX 77090
Physician Assistant
17270 RED OAK DR, SUITE 200
HOUSTON, TX 77090
Physical Therapist (Hand)
17270 RED OAK DR, SUITE 200
HOUSTON, TX 77090
Orthopaedic Surgery
17270 RED OAK DR, SUITE 200
HOUSTON, TX 77090
Physical Therapist (Orthopedic)
17270 RED OAK DR, SUITE 200
HOUSTON, TX 77090

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 Breanna Randolph's NPI number?

The NPI number for Breanna Randolph is 1336568690. It was assigned to this individual provider in the NPPES registry on April 15, 2014.

Where is Breanna Randolph located?

Breanna Randolph practices at 17270 Red Oak Dr Suite 200, Houston, TX 77090. The listed phone number is (281) 440-6960.

What is Breanna Randolph's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Breanna Randolph enrolled in Medicare?

Yes. Breanna 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 Breanna Randolph accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Breanna 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.

When was this NPI record last updated?

The NPPES record for Breanna Randolph was last updated on April 15, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.