RANDAL HERBERT FNP-C
NPI 1356781819
Nurse Practitioner - Family in Gulfport, MS

Q: What is Randal Herbert's NPI number?

The NPI number for Randal Herbert is 1356781819. It was assigned to this individual provider in the NPPES registry on June 28, 2013. The provider is also known as Randy Herbert.

Q: What is Randal Herbert's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Randal Herbert was last updated on October 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since June 28, 2013PECOS Enrolled

14116 CUSTOMS BLVD, GULFPORT, MS 39503(601) 957-6300 Get Directions Write a Review

NPPES record last updated: October 25, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Randal Herbert Fnp-c NPPES

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

RANDAL HERBERT FNP-C (NPI 1356781819) is an individual family provider in Gulfport, Mississippi, licensed in Louisiana (F0613731) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356781819

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameRANDAL HERBERTCredential: FNP-C

Location Address14116 CUSTOMS BLVDGulfport, MS 39503-5164

Mailing Address4200 Iola St.Metairie, LA 70001 · (504) 296-0777 · Fax (504) 455-2992

Phone(601) 957-6300

Sole ProprietorYes

Enumeration DateJune 28, 2013

Last NPPES UpdateOctober 25, 2019

✔ NPI 1356781819 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 LA · F0613731

14116 CUSTOMS BLVD, Gulfport, MS 39503

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Other Names 1

Other Name (5)Randy Herbert

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Randal Herbert Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39503 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.

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.

LANDMARK MEDICAL OF MISSISSIPPI PC

General Practice