MRS. GLYNNIS D RANDALL F.N.P.
NPI 1346355583
Nurse Practitioner in Wiggins, MS
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
Specialties & Licenses
Other Identifiers 3
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
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.
Medicare Billing Reassignments
2Medicare enrollment records show Glynnis Randall reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Wiggins, MS 39577
- Reassigned Medicare billing, Mississippi enrollment
- 24 clinicians in this Medicare group
Wiggins, MS 39577
- Reassigned Medicare billing, Mississippi enrollment
- 731 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.
Memorial Hospital At Gulfport
Acute Care Hospitals · Gulfport, MSPhysician 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.
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.
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.
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.
Which organizations bill Medicare for Glynnis Randall's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Glynnis Randall reassigns Medicare benefits to 2 organizations: Wiggins Primary Care (Wiggins, MS) and Memorial Hospital At Gulfport (Wiggins, MS). 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 Glynnis Randall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Glynnis Randall accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 3 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.
# Mrs. Glynnis D Randall, F.N.P. · NPI 1346355583
Nurse Practitioner physician in Wiggins, Mississippi. Individual provider, active in the CMS NPPES registry since August 20, 2006.
## Identity
- **NPI:** 1346355583 (Entity type: Individual)
- **Enumerated:** August 20, 2006
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** R764278 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 975 HALL ST, Wiggins, MS 39577-2107
- **Phone:** (601) 528-9119 · **Fax:** (601) 528-9193
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Wiggins Primary Care (NPI 1740293257, Wiggins, MS); Memorial Hospital At Gulfport (NPI 1104477710, Wiggins, MS) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1995
## Record status
- **NPPES last updated:** November 22, 2016
- **Other identifiers:** Medicare UPIN 513740; Medicaid 0116288 (MS); Medicare PIN 302I502643 (MS)
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Source: [NPI Profile](https://npiprofile.com/npi/1346355583) · Data from the CMS NPPES public registry.