MRS. GLYNNIS D RANDALL F.N.P.
NPI 1346355583
Nurse Practitioner in Wiggins, MS

Active since August 20, 2006PECOS EnrolledAccepts Medicare Assignment
975 HALL ST, WIGGINS, MS 39577(601) 528-9119(601) 528-9193 Get Directions Write a Review

NPPES record last updated: November 22, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Glynnis D Randall F.n.p. NPPES

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

MRS. GLYNNIS D RANDALL F.N.P. (NPI 1346355583) is an individual nurse practitioner in Wiggins, Mississippi, licensed in Mississippi (R764278) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Memorial Hospital At Gulfport, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1346355583
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. GLYNNIS D RANDALLCredential: F.N.P.
Location Address975 HALL STWiggins, MS 39577-2107
Mailing AddressPo Box 1007Lucedale, MS 39452-1007 · (601) 947-1332 · Fax (601) 947-1331
Fax(601) 528-9193
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateAugust 20, 2006
Last NPPES UpdateNovember 22, 2016
NPI 1346355583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in MS · R764278
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.
975 HALL ST, Wiggins, MS 39577

Other Identifiers 3

Medicare UPIN513740
Medicaid0116288MS
Medicare PIN302I502643MS

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

Mrs. Glynnis D Randall F.n.p. 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 ID4183605967
PECOS Enrollment IDI20040527000304
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.

Memorial Hospital At Gulfport

Acute Care Hospitals · Gulfport, MS
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number250019
Location4500 13th StreetGulfport, MS 39502 · Harrison County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39577 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers15 claims29 services$6.48 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
3 suppliers11 claims11 services$40.38 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

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

Nurse Practitioner (Family)
975 HALL ST
WIGGINS, MS 39577
Family Medicine
975 HALL ST
WIGGINS, MS 39577
Internal Medicine
975 HALL ST
WIGGINS, MS 39577
Clinic/Center (Rural Health)
975 HALL ST
WIGGINS, MS 39577
Nurse Practitioner (Family)
975 HALL ST
WIGGINS, MS 39577
Nurse Practitioner (Family)
975 HALL ST
WIGGINS, MS 39577
Nurse Practitioner (Family)
975 HALL ST
WIGGINS, MS 39577

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 Glynnis Randall's NPI number?

The NPI number for Glynnis Randall is 1346355583. It was assigned to this individual provider in the NPPES registry on August 20, 2006.

Where is Glynnis Randall located?

Glynnis Randall practices at 975 Hall St, Wiggins, MS 39577. The listed phone number is (601) 528-9119.

What is Glynnis Randall's specialty?

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

Is Glynnis Randall enrolled in Medicare?

Yes. Glynnis Randall 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 Glynnis Randall accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list Glynnis Randall 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 Glynnis Randall affiliated with any hospitals?

According to CMS data, Glynnis Randall is affiliated with Memorial Hospital At Gulfport.

When was this NPI record last updated?

The NPPES record for Glynnis Randall was last updated on November 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.