ANNETTE RANDLEMON CNP
NPI 1366468159
Nurse Practitioner - Family in Farmington, NM

Active since July 14, 2006PECOS Enrolled
2300 E 30TH ST, BLDG B, SUITE 102, FARMINGTON, NM 87401(505) 324-1000(505) 324-1199 Get Directions Write a Review

NPPES record last updated: January 22, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Annette Randlemon Cnp NPPES

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

ANNETTE RANDLEMON CNP (NPI 1366468159) is an individual family provider in Farmington, New Mexico, licensed in New Mexico (R25038) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366468159
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameANNETTE RANDLEMONCredential: CNP
Location Address2300 E 30TH ST, BLDG B, SUITE 102Farmington, NM 87401-8990
Mailing Address2017 Sierra AveAztec, NM 87410-1540 · (505) 334-6896
Fax(505) 324-1199
Sole ProprietorNo
Enumeration DateJuly 14, 2006
Last NPPES UpdateJanuary 22, 2008
NPI 1366468159 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 NM · R25038
2300 E 30TH ST, Farmington, NM 87401

Other Identifiers 4

OtherNM006F13NM · Blue Cross
MedicaidS3309NM
Other10002777NM · Lovelace Salud
Medicare UPINS50160

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Annette Randlemon Cnp 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 87401 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
98%953 patients4/55-star benchmark: 99%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Otolaryngology (Otolaryngic Allergy)
2300 E 30TH ST, BLDG D-102
FARMINGTON, NM 87401
Family Medicine
2300 E 30TH ST, BLDG B, STE 102
FARMINGTON, NM 87401
Otolaryngology (Otolaryngic Allergy)
2300 E 30TH ST, BLDG D-102
FARMINGTON, NM 87401
Physician Assistant
2300 E 30TH ST, BLDG B, SUITE 102
FARMINGTON, NM 87401
Pediatrics
2300 E 30TH ST, BLDG C2
FARMINGTON, NM 87401
Ophthalmology
2300 E 30TH ST, STE 105
FARMINGTON, NM 87401
Urology
2300 E 30TH ST, BLDG B SUITE 106
FARMINGTON, NM 87401
Psychiatry & Neurology (Neurology)
2300 E 30TH ST, BUILDING 102
FARMINGTON, NM 87401

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 Annette Randlemon's NPI number?

The NPI number for Annette Randlemon is 1366468159. It was assigned to this individual provider in the NPPES registry on July 14, 2006.

Where is Annette Randlemon located?

Annette Randlemon practices at 2300 E 30th St Bldg B, Suite 102, Farmington, NM 87401. The listed phone number is (505) 324-1000.

What is Annette Randlemon's specialty?

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

Is Annette Randlemon enrolled in Medicare?

Yes. Annette Randlemon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Annette Randlemon was last updated on January 22, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.